Organization
SEATTLE ORTHOTICS AND PROSTHETICS, LLC
Active
Parent organization
SEATTLE ORTHOTICS AND PROSTHETICS,LLC
Other names
Valley Prosthetics and Orthotics, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
SEATTLE ORTHOTICS AND PROSTHETICS,LLC
Authorized official
DAVID ELLIS HENSLEY LCPO (OWNER)
(425) 640-2004
Entity
Organization
Contact information
Practice address
120 14TH AVE SE, SUITE D, PUYALLUP, WA 98372-3718
(253) 848-0128
(206) 299-9445
Mailing address
6405 218TH ST SW, SUITE 304, MOUNTLAKE TERRACE, WA 98043-2180
(425) 640-2004
(206) 299-9445
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
PS00000071
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1669896973
NPI
WA
Enumeration date
08/22/2016
Last updated
09/15/2016
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