Healthcare Provider Details

I. General information

NPI: 1851391056
Provider Name (Legal Business Name): ALTHEA'S FOOTWEAR SOLUTIONS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/28/2005
Last Update Date: 03/05/2024
Certification Date: 03/05/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1932 BROADWAY
EVERETT WA
98201-2316
US

IV. Provider business mailing address

1932 BROADWAY
EVERETT WA
98201-2316
US

V. Phone/Fax

Practice location:
  • Phone: 425-303-0108
  • Fax: 425-303-2539
Mailing address:
  • Phone: 425-303-0108
  • Fax: 425-303-2539

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number State

VIII. Authorized Official

Name: ALTHEA MARIE SCHLUMPF
Title or Position: PRESIDENT
Credential: C.PED
Phone: 425-303-0108