Individual
KRISTOPHER STEPHENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPO
Contact information
Practice address
402 15TH AVE SE, PUYALLUP, WA 98372-3709
(253) 864-2811
Mailing address
402 15TH AVE SE, PUYALLUP, WA 98372-3709
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
—
—
224P00000X
Prosthetist
Primary
—
—
Other
Enumeration date
05/06/2024
Last updated
05/06/2024
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