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Custom Prosthetic, Ltd.
Anaplastologist in Tacoma, Washington
NPI 1710008537

Custom Prosthetic, Ltd. is an Anaplastologist based in Tacoma, WA. Custom Prosthetic, Ltd. practices in Tacoma, WA. The NPI Number for Custom Prosthetic, Ltd. is 1710008537 and holds a License No. (Washington).

The current practice location address for Custom Prosthetic, Ltd. is 705 Opera Aly Ste K, Tacoma, WA and can be reached out via phone at 253-327-1924 and via fax at 206-826-1790. You can also correspond with Custom Prosthetic, Ltd. through the mailing address at 705 OPERA ALY STE K, TACOMA, WA - 98402-3734 (mailing address contact number: 253-327-1924).

Location: 705 Opera Aly Ste K, Tacoma, WA, 98402-3734
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1710008537
Provider Name
Custom Prosthetic, Ltd.
Credential
Provider Entity Type
Organization
Address
705 Opera Aly Ste K, Tacoma, WA, 98402-3734
Phone Number
253-327-1924
Fax Number
206-826-1790
Provider Enumeration Date
04/02/2007
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
9044017 05 WA
0170345 01 WA LABOR & INDUSTRIES
institution
Provider Business Practice Location Address Details
Address
705 Opera Aly Ste K
City
Tacoma
State
Washington
Zip
98402-3734
Phone Number
253-327-1924
Fax Number
206-826-1790
person
Provider Business Mailing Address Details
Address
705 Opera Aly Ste K
City
Tacoma
State
Washington
Zip
98402-3734
Phone Number
253-327-1924
Fax Number
206-826-1790
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Anaplastologist
Speciality
-
Taxonomy
229N00000X
License No.
()
Definition
An anaplastologist is a professional who creates prostheses for the face and body. Patients treated include those missing anatomy due to cancer, traumatic injury, or birth differences. Generally, there are no state licensing requirements for anaplastologists. Certification specific to anaplastology is provided through the Board for Certified Clinical Anaplastology (BCCA) with a credential title of Certified Clinical Anaplastologist (CCA).
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