Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Koda Physical Therapy and Sports Performance

Organization Physical Therapy Clinic/Center · NPI 1356797542

Koda Physical Therapy and Sports Performance is a Physical Therapy Clinic/Center in Petaluma, California. Registered with an NPI since 2016.

In the registry since
2016

Practice location Address checks out

1600 Corporate Cir
Petaluma, CA 94954-6912
Phone: (707) 981-8604
Fax: (707) 981-8647
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Clinic/Center (primary) Taxonomy 261QP2000X

Record details

NPI number1356797542
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Loren Kimble — Owner · (415) 425-5206
NPI enumeratedMay 6, 2016
Last updated in NPPESJune 10, 2021
Certification dateJune 10, 2021
Mailing address1600 Corporate Cir, Petaluma, CA 94954-6912

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