IndividualActive
Colin Coughenour, CPT
NPI 1659605574 · Kinesiotherapist · Petaluma, CA
Provider details
- NPI number
- 1659605574
- Entity type
- Individual
- Primary specialty
- KinesiotherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- CPT
- Sex
- Male
- Sole proprietor
- Yes
- License
- ACE - T145486 (CA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Dietary & Nutritional Service Providers
Practice location
18 Warrick Ct
Petaluma, CA 94954-5848
Phone: (707) 217-7838
Approximate (ZIP-level) locationGet directions
Mailing address
18 Warrick Ct
Petaluma, CA 94954-5848
Registry dates
- Enumerated
- 2009-09-24
- Last updated
- 2009-09-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.