NPI 1417209040

David Ellis Hensley, CPOFAAOP

Practitioner Prosthetist Puyallup, WA

Practice location

Address: 120 14th Ave SE Suite D, Puyallup, WA 98372-3718
Phone: (253) 848-2888
Fax: (206) 299-9445
Mailing address: 6405 218th St SW STE 301, Mountlake Terrace, WA 98043-2180

Registered specialties (2)

Prosthetist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224P00000X Licence PS00000071 (WA)

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Orthotist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 222Z00000X Licence OI00000072 (WA)

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Registry record

NPI: 1417209040
Entity type: Individual
Sex (as registered): Male
NPI issued: 5 Oct 2012
Record last updated: 18 Dec 2014

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.