Individual
KEI TAKAMURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPO
Contact information
Practice address
501 EASTLAKE AVE E STE 300, SEATTLE, WA 98109-5546
(206) 598-4026
Mailing address
501 EASTLAKE AVE E STE 300, SEATTLE, WA 98109-5546
(206) 598-4026
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
OI61322979
WA
224P00000X
Prosthetist
PS61322980
WA
Other
Enumeration date
08/02/2022
Last updated
08/15/2023
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