NPI 1184814154

Wayne Daly

Practitioner Prosthetist Mountlake Terrace, WA

Practice location

Address: 6405 218th St SW Suite 301, Mountlake Terrace, WA 98043-2180
Phone: (425) 771-0797
Fax: (206) 219-1144

Registered specialties (2)

Prosthetist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224P00000X Licence PS00000011 (WA)

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Orthotist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 222Z00000X Licence OI00000010 (WA)

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Registry record

NPI: 1184814154
Entity type: Individual
Sex (as registered): Male
NPI issued: 26 Jul 2007
Record last updated: 22 Oct 2012

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.