IndividualActive
Kristopher Stephens, CPO
NPI 1205683240 · Prosthetist · Puyallup, WA
Provider details
- NPI number
- 1205683240
- Entity type
- Individual
- Primary specialty
- ProsthetistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- CPO
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Orthotist222Z00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
402 15th Ave Se
Puyallup, WA 98372-3709
Phone: (253) 864-2811
Approximate (ZIP-level) locationGet directions
Mailing address
402 15th Ave Se
Puyallup, WA 98372-3709
Registry dates
- Enumerated
- 2024-05-06
- Last updated
- 2024-05-06
- Certified
- 2024-05-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.