Whalio Doctors

NPI 1619479490

Stephen Anthony Blas, CPO

Practitioner Orthotist Post Falls, ID

Practice location

Address
1160 E Polston Ave STE a, Post Falls, ID 83854-6045
Phone
(208) 457-1545

Registered specialties (2)

Orthotist Primary
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 222Z00000X Licence 60540132 (WA)
Prosthetist
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224P00000X Licence 60471375 (WA)

Registry record

NPI
1619479490
Entity type
Individual
Sex (as registered)
Male
NPI issued
7 Mar 2018
Record last updated
25 Nov 2020

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.