Provider Demographics
NPI:1538403944
Name:COFFLAND, FIONA PEATTIE (PT)
Entity type:Individual
Prefix:
First Name:FIONA
Middle Name:PEATTIE
Last Name:COFFLAND
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2741 MURPHY PL
Mailing Address - Street 2:
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98226-7576
Mailing Address - Country:US
Mailing Address - Phone:425-238-7746
Mailing Address - Fax:
Practice Address - Street 1:4415 COLUMBINE DR
Practice Address - Street 2:
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98226-8039
Practice Address - Country:US
Practice Address - Phone:360-715-8822
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-11-26
Last Update Date:2021-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPT00005022225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist