CUSTOM PROSTHETIC, LTD. is an anaplastologist in Tacoma, WA. The provider is 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). CUSTOM PROSTHETIC, LTD. NPI is 1710008537. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
705 OPERA ALY STE K
TACOMA, WA
ZIP 98402-734
Phone: (253) 327-1924
Fax: (206) 826-1790
The provider's authorized official is Sharon A Haggerty .
The authorized official title is President, Anaplastologist and has the following contact phone number (253) 327-6192.
The enumeration date for this NPI number is 4/2/2007 and was last updated on 10/25/2019.