Kodie Marie Counsell

Individual provider Active NPI Athletic Trainer · Cheney, WA

NPI 1184397887 · NPPES record last updated Jun 5, 2025

Key facts

NPI
1184397887
Entity type
Individual (NPI type 1)
Primary specialty
Athletic Trainer 2255A2300X
Practice address
1106 Washington St
Pe Classroom Building 200
Cheney, WA 99004
Phone
(509) 359-6409
NPI assigned
Jul 28, 2021
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X WA Yes

Addresses

Primary practice location

1106 Washington St
Pe Classroom Building 200
Cheney, WA 99004

Mailing address

7933 38TH PL SE
Snohomish, WA 98290-5202
Phone (850) 723-2443

Other providers in Cheney, WA

All providers in Cheney, WA · Athletic Trainer in Washington

Sources for this page

Verify at the official NPI Registry.