MR. Kenneth Alan Mandler, C.O. CERTIFIED ORTHO

NPI #1154470193 in Liberty Lake, Washington

Provider Information

NPI Number: 1154470193
Entity Type: Individual
Name: MR. Kenneth Alan Mandler, C.O. CERTIFIED ORTHO
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Orthotist
Credential: C.O. CERTIFIED ORTHO
Enumeration Date: Jan 9, 2007
Last Updated: Oct 18, 2023

Practice Location

Address: 509 N HOMESTEAD DR
City: Liberty Lake
State: Washington
ZIP Code: 99019-7580
Phone: (509) 389-4783

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Orthotist	222Z00000X	Primary

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