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MISS GRACE FREDEEN CO NPI 1003008137


NPI Profile

NPI: 1003008137
Provider Name: MISS GRACE FREDEEN, CO
Classification:Orthotist - 222Z00000X
Entity Type: Individual
Address:
600 BROADWAY
SUITE 190
SEATTLE, WA
ZIP 98122
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Phone: (206) 323-4040

MISS Grace Fredeen, CO is an orthotist in Seattle, WA. The provider is a health care professional who is specifically educated and trained to manage comprehensive orthotic patient care, including musculoskeletal and neuromuscular anomalies resulting from injuries or disease processes involving the lower extremity, upper extremity or spinal segment/s and positional deformation of the cranium. Orthotists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care. MISS Grace Fredeen, CO NPI is 1003008137. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

600 BROADWAY
SUITE 190
SEATTLE, WA
ZIP 98122-395
Phone: (206) 323-4040
Fax: (206) 324-0943

The enumeration date for this NPI number is 8/13/2007 and was last updated on 8/13/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1222Z00000XOrthotistOI00000178WASHINGTONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
19036963MEDICAIDWASHINGTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 9/13/2022

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