Individual
MR. MICHAEL PHILIP PODRASKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CPO
Contact information
Practice address
1420 4TH ST SE, STE D, PUYALLUP, WA 98372
(253) 848-2888
(253) 848-3840
Mailing address
1420 4TH ST SE, STE D, PUYALLUP, WA 98372
(253) 848-2888
(253) 848-3840
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
—
WA
224P00000X
Prosthetist
Primary
PS00000022
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9018763
—
WA
Enumeration date
12/29/2005
Last updated
11/20/2007
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