Provider Demographics
NPI:1033378625
Name:COPES, RODNEY (PT)
Entity Type:Individual
Prefix:MR
First Name:RODNEY
Middle Name:
Last Name:COPES
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:621 VAN DE VANTER AVE
Mailing Address - Street 2:
Mailing Address - City:KENT
Mailing Address - State:WA
Mailing Address - Zip Code:98030-6209
Mailing Address - Country:US
Mailing Address - Phone:253-639-4370
Mailing Address - Fax:866-656-3551
Practice Address - Street 1:621 VAN DE VANTER AVE
Practice Address - Street 2:
Practice Address - City:KENT
Practice Address - State:WA
Practice Address - Zip Code:98030-6209
Practice Address - Country:US
Practice Address - Phone:253-639-4370
Practice Address - Fax:866-656-3551
Is Sole Proprietor?:No
Enumeration Date:2008-06-09
Last Update Date:2008-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA00007362225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist