Individual
MR. WAYNE DALY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6405 218TH ST SW, SUITE 301, MOUNTLAKE TERRACE, WA 98043-2180
(425) 771-0797
(206) 219-1144
Mailing address
6405 218TH ST SW, SUITE 301, MOUNTLAKE TERRACE, WA 98043-2180
(425) 771-0797
(206) 219-1144
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
OI00000010
WA
224P00000X
Prosthetist
Primary
PS00000011
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9015561
—
WA
Enumeration date
07/26/2007
Last updated
10/22/2012
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