OrganizationActive
Advanced Mobility Repair
NPI 1487741617 · Durable Medical Equipment & Medical Supplies · Centralia, WA
Provider details
- NPI number
- 1487741617
- Entity type
- Organization
- Primary specialty
- Durable Medical Equipment & Medical SuppliesSuppliers
- Organization subpart
- No
- Authorized official
- Kazon Rotz, Owner(360) 219-1102
- License
- 602621899 (WA)
Specialties & taxonomies
Suppliers
Practice location
21645 Oregon Trl
Centralia, WA 98531-9617
Phone: (360) 219-1102
Fax: (360) 237-0561
Approximate (ZIP-level) locationGet directions
Mailing address
1411 Nw Louisiana Ave
Chehalis, WA 98532-1749
Registry dates
- Enumerated
- 2006-10-09
- Last updated
- 2008-06-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.