Individual
AISLINN WYATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPO
Contact information
Practice address
1660 S COLUMBIAN WAY, PROSTHETICS 663/S-121 PSAS, SEATTLE, WA 98108
(206) 277-6809
Mailing address
3421 40TH AVE W, SEATTLE, WA 98199-1922
(206) 285-3065
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
OI.60810115
WA
224P00000X
Prosthetist
Primary
PS60912047
WA
Other
Enumeration date
03/08/2018
Last updated
09/17/2020
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