NPI 1083955256

Timothy Rahl, CPACFO

Practitioner Orthotic Fitter Grand Rapids, MI

Practice location

Address: 5005 Cascade Rd SE STE C, Grand Rapids, MI 49546-8411
Phone: (616) 940-0987

Registered specialties

Orthotic Fitter Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225000000X

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Registry record

NPI: 1083955256
Entity type: Individual
Sex (as registered): Male
NPI issued: 12 Mar 2013
Record last updated: 12 Mar 2013

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.