NPI 1619118106

Michael Shawn Davis, CFO

Practitioner Orthotic Fitter Olympai, WA

Practice location

Address: 208 Lilly Rd NE, Olympai, WA 98506
Phone: (360) 459-1099
Fax: (360) 459-1794
Mailing address: 208 Lilly Rd NE, Olympia, WA 98506-6100

Registered specialties

Orthotic Fitter Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225000000X

Other Orthotic Fitter providers in Washington →

Registry record

NPI: 1619118106
Entity type: Individual
Sex (as registered): Male
NPI issued: 13 Mar 2009
Record last updated: 29 Apr 2011

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.