Individual provider · Type 1 NPI
Tim Shride
Prosthetist · Sacramento, CA
NPI number
1043833619
Active
Practice location
3800 Watt Ave Ste 151
Sacramento, CA 95821-2688
Mailing address
10717 126th Pl NE
Kirkland, WA 98033-4756
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthotist | 222Z00000X | None listed |
| Prosthetist Primary | 224P00000X | None listed |
Prosthetist: A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.
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About NPI 1043833619
Tim Shride's National Provider Identifier is 1043833619, issued on May 18, 2020. The primary taxonomy on file is Prosthetist (224P00000X), and the practice location is in Sacramento, CA. The record was last updated on May 18, 2020.