NPI 1487631586

Michael Philip Podrasky, CPO

Practitioner Prosthetist Puyallup, WA

Practice location

Address: 1420 4th St SE STE D, Puyallup, WA 98372
Phone: (253) 848-2888
Fax: (253) 848-3840

Registered specialties (2)

Prosthetist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224P00000X Licence PS00000022 (WA)

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Orthotist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 222Z00000X

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Registry record

NPI: 1487631586
Entity type: Individual
Sex (as registered): Male
NPI issued: 29 Dec 2005
Record last updated: 20 Nov 2007

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.