Organization
THERAPEUTIC FOOTWEAR, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RALPH L KENDALL C-PED (OWNER)
(253) 473-4311
Entity
Organization
Contact information
Practice address
7501 CUSTER RD W, LAKEWOOD, WA 98499-8138
(253) 473-4311
(253) 473-4408
Mailing address
7501 CUSTER RD W, LAKEWOOD, WA 98499-8138
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
095381
COPES SUPPLIER #
WA
01
—
49251
L & I SUPPLIER #
WA
05
—
8383531
—
WA
05
—
9037326
—
WA
05
—
9058579
—
WA
Enumeration date
03/30/2007
Last updated
08/22/2020
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