Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 213E00000X | Podiatrist | OI00000274 | WA |
N | 222Z00000X | Podiatrist | OI00000274 | WA |
Y | 224P00000X | Prosthetist | PS00000275 | WA |
N | 225000000X | Orthotic Fitter | PS00000275 | WA |
NPI | 1316250335 |
---|---|
Provider Name | Scott Sypher |
First Address | Issaquah, WA 98027-2445 |
Second Address | Issaquah, WA 98027-2445 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/07/2010 |
Last Update Date | 19/07/2010 |