IndividualActive
Desiree Fredericks
NPI 1700365152 · Orthotist · Tacoma, WA
Provider details
- NPI number
- 1700365152
- Entity type
- Individual
- Primary specialty
- OrthotistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Prosthetist224P00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
723 Martin Luther King Jr Way
Tacoma, WA 98405-4139
Phone: (253) 383-4447
Approximate (ZIP-level) locationGet directions
Mailing address
723 Martin Luther King Jr Way
Tacoma, WA 98405-4139
Registry dates
- Enumerated
- 2018-08-07
- Last updated
- 2018-08-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.