NPI 1154470193

Kenneth Alan Mandler, COCERTIFIEDORTHO

Practitioner Orthotist Liberty Lake, WA

Practice location

Address: 509 N Homestead Dr, Liberty Lake, WA 99019-7580
Phone: (509) 389-4783

Registered specialties

Orthotist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 222Z00000X Licence DI00000466 (WA)

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Registry record

NPI: 1154470193
Entity type: Individual
Sex (as registered): Male
NPI issued: 9 Jan 2007
Record last updated: 18 Oct 2023

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.