Individual
MR. DAVID ELLIS HENSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPO, FAAOP
Contact information
Practice address
120 14TH AVE SE, SUITE D, PUYALLUP, WA 98372-3718
(253) 848-2888
(206) 299-9445
Mailing address
6405 218TH ST SW STE 301, MOUNTLAKE TERRACE, WA 98043-2180
(425) 640-2004
(206) 299-9445
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
OI00000072
WA
224P00000X
Prosthetist
Primary
PS00000071
WA
Other
Enumeration date
10/05/2012
Last updated
12/18/2014
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