IndividualActive
Justin Williams, CPO
NPI 1124332515 · Prosthetist · Olympia, WA
Provider details
- NPI number
- 1124332515
- Entity type
- Individual
- Primary specialty
- ProsthetistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- CPO
- Sex
- Male
- Sole proprietor
- No
Practice location
530 Lilly Rd Se Ste 100
Olympia, WA 98501-2105
Phone: (360) 486-0565
Fax: (360) 486-0551
Mailing address
530 Lilly Rd Se Ste 100
Olympia, WA 98501-2105
Registry dates
- Enumerated
- 2010-07-28
- Last updated
- 2025-03-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.