Provider Demographics
NPI:1821497264
Name:COONEY, CAITLIN
Entity Type:Individual
Prefix:
First Name:CAITLIN
Middle Name:
Last Name:COONEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:432 NE RAVENNA BLVD UNIT 101
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98115-8448
Mailing Address - Country:US
Mailing Address - Phone:206-524-4977
Mailing Address - Fax:206-524-4340
Practice Address - Street 1:432 NE RAVENNA BLVD UNIT 101
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98115-8448
Practice Address - Country:US
Practice Address - Phone:206-524-4977
Practice Address - Fax:206-524-4340
Is Sole Proprietor?:No
Enumeration Date:2014-08-21
Last Update Date:2021-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist