Scoliosis Northwest
NPI #1598547135 in Liberty Lake, Washington
Provider Information
- NPI Number
- 1598547135
- Entity Type
- Organization
- Organization Name
- Scoliosis Northwest
- Primary Specialty
- Prosthetic/Orthotic Supplier
- Enumeration Date
- Oct 18, 2023
- 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
Authorized Official
- Name
- KENNETH MANDLER, L.C.O.
- Title
- ORTHOTIST/OWNER
- Phone
- (509) 389-4783
Specialties & Taxonomy Codes
| Specialty |
|---|
| Prosthetic/Orthotic Supplier |
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