Individual
MR. KARL W ENTENMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPO
Contact information
Practice address
34709 9TH AVE S, SUITE A-100, FEDERAL WAY, WA 98003-8722
(253) 952-3887
(253) 927-3058
Mailing address
1901 S CEDAR ST, SUITE 101, TACOMA, WA 98405-2308
(253) 572-1282
(253) 572-1175
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
OI00000003
WA
224P00000X
Prosthetist
Primary
PS00000004
WA
Other
Enumeration date
02/05/2007
Last updated
05/17/2013
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