Healthcare Provider Details

I. General information

NPI: 1194629436
Provider Name (Legal Business Name): LIMBITLESS POTENTIAL ORTHOTICS & PROSTHETICS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/07/2026
Last Update Date: 10/07/2026
Certification Date: 10/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

31522 45TH CT SW
FEDERAL WAY WA
98023-2189
US

IV. Provider business mailing address

31522 45TH CT SW
FEDERAL WAY WA
98023-2189
US

V. Phone/Fax

Practice location:
  • Phone: 253-670-1892
  • Fax:
Mailing address:
  • Phone: 253-670-1892
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number StateNULL

VIII. Authorized Official

Name: MRS. KIRSTEN BAYNE
Title or Position: OWNER
Credential: CPO
Phone: 253-670-1892