NPI 1770783060

Larry Jensen

Practitioner Prosthetist Yakima, WA

Practice location

Address: 313 S 9th Ave, Yakima, WA 98902-3516
Phone: (509) 248-8040
Fax: (509) 248-8709

Registered specialties (2)

Prosthetist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224P00000X

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Orthotist

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

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Registry record

NPI: 1770783060
Entity type: Individual
Sex (as registered): Male
NPI issued: 24 Jul 2007
Record last updated: 24 Jul 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.