| Doctor Name: | KENNETH J COOMBS |
| NPI Number: | 1164680872 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PT |
| License Number: | 322792-2401 |
| Business Practice Address: | 1305 Alexander St Centralia, WA - 985311305 |
| Business Phone Number: | 1360736408 |
| Business Fax Number: | 1360807214 |
| Mailing Address: | 1720 Juneman St, CENTRALIA |
| State: | WA |
| Postal Code: | 985313363 |
| Phone Number: | 1360330519 |
| Fax Number: | |
| NPI Enumeration Date: | 05/29/2008 |
| NPI Last Update Date: | 05/29/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 322792-2401 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | UT |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |