| Doctor Name: | KATHERINE COUSINEAU |
| NPI Number: | 1114312402 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | |
| Business Practice Address: | 518 W 1st Ave Toppenish, WA - 989481564 |
| Business Phone Number: | 5098655600 |
| Business Fax Number: | 5098655783 |
| Mailing Address: | Po Box 190, TOPPENISH |
| State: | WA |
| Postal Code: | 989480190 |
| Phone Number: | 5098652395 |
| Fax Number: | |
| NPI Enumeration Date: | 04/02/2015 |
| NPI Last Update Date: | 07/28/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |