IndividualActive
Michael Podrasky, CPO
NPI 1487631586 · Prosthetist · Puyallup, WA
Provider details
- NPI number
- 1487631586
- Entity type
- Individual
- Primary specialty
- ProsthetistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- CPO
- Sex
- Male
- Sole proprietor
- Yes
- License
- PS00000022 (WA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Orthotist222Z00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
1420 4th St Se
Ste D
Puyallup, WA 98372
Phone: (253) 848-2888
Fax: (253) 848-3840
Approximate (ZIP-level) locationGet directions
Mailing address
1420 4th St Se
Puyallup, WA 98372
Registry dates
- Enumerated
- 2005-12-29
- Last updated
- 2007-11-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.