| Doctor Name: | PAIGE NICOLE KOLER |
| NPI Number: | 1720478712 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | SLP |
| License Number: | SI60503423 |
| Business Practice Address: | 26530 236th Pl Se Suite B101 Maple Valley, WA - 980385882 |
| Business Phone Number: | 4253587160 |
| Business Fax Number: | 4253587159 |
| Mailing Address: | 12833 175th Ave Se, RENTON |
| State: | WA |
| Postal Code: | 980598721 |
| Phone Number: | 4254452671 |
| Fax Number: | |
| NPI Enumeration Date: | 01/28/2015 |
| NPI Last Update Date: | 01/28/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | SI60503423 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Speech-Language Pathologist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A speech pathologist is a person qualified by a master |