Organization
ADAPTIVE MOBILITY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL ALAN TIMCO (PRESIDENT)
(360) 753-4445
Entity
Organization
Contact information
Practice address
2708 LIBBY RD NE, OLYMPIA, WA 98506-2982
(360) 753-4445
(360) 357-6682
Mailing address
PO BOX 11172, OLYMPIA, WA 98508-1172
(360) 753-4445
(360) 357-6682
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9040643
—
WA
Enumeration date
02/09/2006
Last updated
08/22/2020
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