Whalio Doctors

NPI 1538566161

Collins Kenneth Freitas, CPED

Practitioner Pedorthist Olympia, WA

Practice location

Address
3508 12th Ave NE, Olympia, WA 98506-5218
Phone
(360) 459-1099
Fax
(360) 459-1794

Registered specialties

Pedorthist Primary
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224L00000X

Registry record

NPI
1538566161
Entity type
Individual
Sex (as registered)
Male
NPI issued
25 Nov 2014
Record last updated
25 Nov 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.