NPI 1265759120

Thomas Broselle, CPO

Practitioner Orthotist Bellingham, WA

Practice location

Address: 800 E Chestnut St Suite 3c, Bellingham, WA 98225-5241
Phone: (360) 734-0298
Fax: (360) 734-9679
Mailing address: 1300 44th St SE, Everett, WA 98203-2200

Registered specialties (2)

Orthotist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 222Z00000X Licence OI00000090 (WA)

Other Orthotist providers in Washington →

Prosthetist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224P00000X Licence PS00000089 (WA)

Other Prosthetist providers in Washington →

Registry record

NPI: 1265759120
Entity type: Individual
Sex (as registered): Male
NPI issued: 30 Apr 2010
Record last updated: 3 May 2010

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.