Organization
BUTLER AND BRUBAKER ORTHOTICS AND PROSTHETICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACOB BRUBAKER CPO (OWNER)
(206) 790-3890
Entity
Organization
Contact information
Practice address
10004 204TH AVE E STE 3200, BONNEY LAKE, WA 98391-6539
(206) 790-3890
Mailing address
10004 204TH AVE E STE 3200, BONNEY LAKE, WA 98391-6539
(206) 790-3890
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
—
—
224P00000X
Prosthetist
Primary
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Enumeration date
12/18/2019
Last updated
12/15/2020
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