OrganizationActive
Custom Prosthetic, Ltd.
NPI 1710008537 · Anaplastologist · Tacoma, WA
Provider details
- NPI number
- 1710008537
- Entity type
- Organization
- Primary specialty
- AnaplastologistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Sharon Haggerty, President, Anaplastologist(253) 327-6192
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
705 Opera Aly Ste K
Tacoma, WA 98402-3734
Phone: (253) 327-1924
Fax: (206) 826-1790
Approximate (ZIP-level) locationGet directions
Mailing address
705 Opera Aly Ste K
Tacoma, WA 98402-3734
Registry dates
- Enumerated
- 2007-04-02
- Last updated
- 2019-10-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.