NPI 1336612753

Richard Rex Marin, CPO

Practitioner Prosthetist Tacoma, WA

Practice location

Address: 723 Martin Luther King Jr Way, Tacoma, WA 98405-4139
Phone: (253) 383-4447
Fax: (253) 383-7574

Registered specialties (2)

Prosthetist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224P00000X Licence PS60560910 (WA)

Other Prosthetist providers in Washington →

Orthotist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 222Z00000X Licence OI60560917 (WA)

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Registry record

NPI: 1336612753
Entity type: Individual
Sex (as registered): Male
NPI issued: 8 Jan 2019
Record last updated: 8 Jan 2019

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.