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

Individual provider Nutritionist · NPI 1659605574

Colin G Coughenour, CPT is a Nutritionist in Petaluma, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2009
Specialties on file
2
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Practice location Address checks out

18 Warrick Ct
Petaluma, CA 94954-5848
Phone: (707) 217-7838
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Kinesiotherapist (primary) Taxonomy 226300000X · Licence ACE - T145486 (CA)
Nutritionist Taxonomy 133N00000X · Licence ACE - T145486 (CA)

Record details

NPI number1659605574
Entity typeIndividual (Type 1)
GenderMale
Credentials CPT
Sole proprietorYes
NPI enumeratedSeptember 24, 2009
Last updated in NPPESSeptember 24, 2009

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