Provider Demographics
NPI:1831542596
Name:COLE, MINETTE SHARON (PT, DPT, CF-L1)
Entity type:Individual
Prefix:DR
First Name:MINETTE
Middle Name:SHARON
Last Name:COLE
Suffix:
Gender:F
Credentials:PT, DPT, CF-L1
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1548 DESERT SPRINGS AVE
Mailing Address - Street 2:
Mailing Address - City:RICHLAND
Mailing Address - State:WA
Mailing Address - Zip Code:99352-9526
Mailing Address - Country:US
Mailing Address - Phone:904-330-4104
Mailing Address - Fax:
Practice Address - Street 1:1548 DESERT SPRINGS AVE
Practice Address - Street 2:
Practice Address - City:RICHLAND
Practice Address - State:WA
Practice Address - Zip Code:99352-9526
Practice Address - Country:US
Practice Address - Phone:904-330-4104
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-07-18
Last Update Date:2021-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPT60686816225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist