Individual
DAVID MARK GERECKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPO, FAAOP
Contact information
Practice address
3614 72ND AVENUE CT W, UNIVERSITY PLACE, WA 98466-4407
(206) 450-7669
(253) 753-1825
Mailing address
PO BOX 64371, UNIVERSITY PLACE, WA 98464-0371
(206) 450-6769
(253) 753-1825
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
1270
TX
224P00000X
Prosthetist
Primary
1270
TX
Other
Enumeration date
06/01/2005
Last updated
06/08/2025
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