Organization
MASTER'S ORTHOTICS AND PROSTHETICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL T.Y. FEEHAN CPO, LPO (OWNER/PRESIDENT)
(360) 307-7005
Entity
Organization
Contact information
Practice address
9975 MICKELBERRY RD NW, SILVERDALE, WA 98383-9195
(360) 307-7005
(360) 698-1984
Mailing address
9975 MICKELBERRY RD NW, SILVERDALE, WA 98383-9195
(360) 307-7005
(360) 698-1984
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9054172
—
WA
Enumeration date
08/08/2006
Last updated
02/18/2011
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