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NPI 1033360409

OrganizationActive

Davidson Prosthetics LLC

NPI 1033360409 · Prosthetic/Orthotic Supplier · Puyallup, WA

Provider details

NPI number: 1033360409
Entity type: Organization
Primary specialty: Prosthetic/Orthotic SupplierSuppliers
Authorized official: Greg Davidson, Owner
License: CPO01874 (WA)

Practice location

11919 Canyon Rd E

Puyallup, WA 98373-4456

Phone: (253) 770-6578

Fax: (253) 881-1397

More WA providers

Mailing address

11919 Canyon Rd E

Puyallup, WA 98373-4456

Registry dates

Enumerated: 2008-10-03
Last updated: 2022-07-21

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Davidson Prosthetics LLC — NPI 1033360409, Puyallup, WA | NPI Central