Davidson Prosthetics Llc
Prosthetic & Orthotic Supplier
11919 Canyon Rd E, Puyallup
Washington, 98373-4456
253-770-6578 253-881-1397
Maps & DirectionsDavidson Prosthetics Llc is a Prosthetic & Orthotic Supplier in Puyallup, Washington. It is situated at 11919 Canyon Rd E, Puyallup and its contact number is 253-770-6578. The authorized person of Davidson Prosthetics Llc is Greg E Davidson
who is Owner of the store and his/her contact number is 253-651-8250. Primary license number for Davidson Prosthetics Llc is CPO01874 in Washington.
Davidson Prosthetics Llc is an organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
Complete Profile:
Davidson Prosthetics Llc Center speciality, address, contact phone number and fax are as below.
Patients can directly walkin to the Prosthetic/Orthotic center or can call on the below given phone number for appointment.
| Specialization: | Prosthetic & Orthotic Supplier |
| Address: | 11919 Canyon Rd E, Puyallup,
Washington, 98373-4456 |
| Phone: | 253-770-6578 |
| Fax: | 253-881-1397 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this store are as below. Person's position and contact details are also mentioned below.
| Name: | Greg E Davidson |
| Position: | Owner |
| Contact Number: | 253-651-8250 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Davidson Prosthetics Llc center are as mentioned below.
| NPI Number: | 1033360409 |
| NPI Enumeration Date: | 03 Oct, 2008 |
| NPI Last Update On: | 21 Jul, 2022 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Davidson Prosthetics Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Prosthetic/orthotic Supplier | CPO01874 | Washington | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of the supplier such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 9062993 | Medicaid | Washington | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Davidson Prosthetics Llc
11919 Canyon Rd E,
Puyallup, Washington |
| Zip: | 98373-4456 |
| Phone Number: | 253-770-6578 |
| Fax Number: | 253-881-1397 |
Patients can reach Davidson Prosthetics Llc at
11919 Canyon Rd E, Puyallup, Washington or can
call to book an appointment on 253-770-6578.
Comments/ Reviews:
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** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.