Provider Demographics
NPI:1174834543
Name:MONSON, COLE A (DPT)
Entity Type:Individual
Prefix:
First Name:COLE
Middle Name:A
Last Name:MONSON
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13200 OLD REDMOND RD STE 140
Mailing Address - Street 2:
Mailing Address - City:REDMOND
Mailing Address - State:WA
Mailing Address - Zip Code:98052-1819
Mailing Address - Country:US
Mailing Address - Phone:425-889-0776
Mailing Address - Fax:425-889-0857
Practice Address - Street 1:13200 OLD REDMOND RD STE 140
Practice Address - Street 2:
Practice Address - City:REDMOND
Practice Address - State:WA
Practice Address - Zip Code:98052-1819
Practice Address - Country:US
Practice Address - Phone:425-889-0776
Practice Address - Fax:425-889-0857
Is Sole Proprietor?:No
Enumeration Date:2010-06-30
Last Update Date:2021-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND1574225100000X
WAPT60169095225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist