NPI 1710008537

Custom Prosthetic, LTD.

Organisation Anaplastologist Tacoma, WA

Practice location

Address: 705 Opera Aly STE K, Tacoma, WA 98402-3734
Phone: (253) 327-1924
Fax: (206) 826-1790

Authorised official

Name: Sharon a Haggerty
Title: President, Anaplastologist
Phone: (253) 327-6192

Registered specialties

Anaplastologist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 229N00000X

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Registry record

NPI: 1710008537
Entity type: Organization
NPI issued: 2 Apr 2007
Record last updated: 25 Oct 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.