| Cole Sky Therapy Pllc | |
|
9307 Bridgeport Way Sw Lakewood WA 98499-1570 | |
| (253) 201-1234 | |
| Not Available |
| Full Name | Cole Sky Therapy Pllc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 9307 Bridgeport Way Sw, Lakewood, Washington |
| Authorized Official Name and Position | Jason Stark (PRESIDENT) |
| Authorized Official Contact | 7133972708 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cole Sky Therapy Pllc 16835 Deer Creek Dr Ste 220 Spring TX 77379-4895 Ph: (832) 423-6730 | Cole Sky Therapy Pllc 9307 Bridgeport Way Sw Lakewood WA 98499-1570 Ph: (253) 201-1234 |
| NPI Number | 1720707078 |
|---|---|
| Provider Enumeration Date | 08/22/2022 |
| Last Update Date | 05/18/2026 |
| Certification Date | 05/18/2026 |
| Medicare PECOS PAC ID | 4981073319 |
|---|---|
| Medicare Enrollment ID | O20221207001450 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720707078 | NPI | - | NPPES |
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