NPI 1124332515

Justin Williams, CPO

Practitioner Prosthetist Olympia, WA

Practice location

Address: 530 Lilly Rd SE STE 100, Olympia, WA 98501-2105
Phone: (360) 486-0565
Fax: (360) 486-0551

Registered specialties (3)

Prosthetist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224P00000X

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Orthotic Fitter

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

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Orthotist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 222Z00000X

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Registry record

NPI: 1124332515
Entity type: Individual
Sex (as registered): Male
NPI issued: 28 Jul 2010
Record last updated: 24 Mar 2025

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.