Pacific Prosthetics And Orthotics, Llc in Tacoma - Prosthetic/orthotic Supplier
Pacific Prosthetics And Orthotics, Llc - NPI 1316018583
Pacific Prosthetics And Orthotics, Llc is a Prosthetic/orthotic Supplier in Tacoma, Washington. Pacific Prosthetics And Orthotics, Llc practices all healthcare services and medical treatments related to Prosthetic/orthotic Supplier. The NPI Number for Pacific Prosthetics And Orthotics, Llc is 1316018583. The last update date is 2009-10-29.
Pacific Prosthetics And Orthotics, Llc's current location address is 408 64th Avenue Ct E, Tacoma, Washington. You can contact this provider via phone number 2062468910 and fax number 2539279153. The mailing address for Pacific Prosthetics And Orthotics, Llc is 408 64th Avenue Ct E, Tacoma, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Pacific Prosthetics And Orthotics, Llc |
|---|---|
| Address | 408 64th Avenue Ct E, Tacoma, Washington |
| Phone Number | 2062468910 |
| Fax Number | 2539279153 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Frieszell M Raymond |
| Credentials | CPO |
| Telephone Number | 2062468910 |
NPI Number Detail
| NPI Number | 1316018583 |
|---|---|
| Provider Enumeration Date | 2006-11-10 |
| Last Updated Date | 2009-10-29 |
Provider Mailing Address Detail
| Address | 408 64th Avenue Ct E |
|---|---|
| City | Tacoma |
| State | Washington (WA) |
| Post Code | 984241479 |
| Phone Number | 2062468910 |
| Fax Number | 2539279153 |
Provider's Primary Taxonomy Detail
| Speciality | Prosthetic/orthotic Supplier |
|---|---|
| Taxonomy | 335E00000X |
| Licence No | PS0000005555 |
|
Definition: An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological f |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 9049644 | WA | -- | |
| 2020PA | WA | REGENCE BLUE SHIELD | |
| 139008 | WA | LABOR AND INDUSTRIES |
Post Comment/ Review Below
What is the Pacific Prosthetics And Orthotics, Llc's 1316018583?
The Pacific Prosthetics And Orthotics, Llc's NPI (National Provider Identifier) Number is 1316018583. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Pacific Prosthetics And Orthotics, Llc located?
The Pacific Prosthetics And Orthotics, Llc is located at 408 64Th Avenue Ct E, Tacoma, WA 984241479.
What is Pacific Prosthetics And Orthotics, Llc's area of expertise and its corresponding taxonomy classification?
The Pacific Prosthetics And Orthotics, Llc's field of specialization is Prosthetic/orthotic Supplier, and it falls under the taxonomy code 335E00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Pacific Prosthetics And Orthotics, Llc receive the assignment of its 1316018583 from the Centers for Medicare & Medicaid Services?
The Pacific Prosthetics And Orthotics, Llc was issued its 1316018583 by the Centers for Medicare & Medicaid Services on 2006-11-10.
As of what date were the details related to Pacific Prosthetics And Orthotics, Llc most recently updated or revised?
The information pertaining to Pacific Prosthetics And Orthotics, Llc, including its address, specialty, and other relevant details, was last updated or revised on 2009-10-29.
NPI Number: 1902809924
Address: 2400 W Main St, Rock Hill, SC
NPI Number: 1063415297
Address: 510 Spring St, Jeffersonville, IN
NPI Number: 1457354839
Address: P.o. Box 1252, Spartanburg, SC