MR. KENNETH ALAN MANDLER C.O. CERTIFIED ORTHO
NPI 1154470193
Orthotist in Liberty Lake, WA

Active since January 09, 2007
509 N HOMESTEAD DR, LIBERTY LAKE, WA 99019(509) 389-4783 Get Directions Write a Review

NPPES record last updated: October 18, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Kenneth Alan Mandler C.o. Certified Ortho NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. KENNETH ALAN MANDLER C.O. CERTIFIED ORTHO (NPI 1154470193) is an individual orthotist provider in Liberty Lake, Washington, licensed in Washington (DI00000466) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1154470193
Entity TypeIndividualMale
Primary Taxonomy222Z00000X
Provider Legal NameMR. KENNETH ALAN MANDLERCredential: C.O. CERTIFIED ORTHO
Location Address509 N HOMESTEAD DRLiberty Lake, WA 99019-7580
Mailing Address509 N Homestead DrLiberty Lake, WA 99019-7580 · (509) 389-4783
Sole ProprietorYes
Enumeration DateJanuary 9, 2007
Last NPPES UpdateOctober 18, 2023
NPPES CertifiedNovember 1, 2020
NPI 1154470193 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthotistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code222Z00000X
License Licensed in WA · DI00000466
Definition
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.
509 N HOMESTEAD DR, Liberty Lake, WA 99019

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Prosthetic/Orthotic Supplier
509 N HOMESTEAD DR
LIBERTY LAKE, WA 99019

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kenneth Mandler's NPI number?

The NPI number for Kenneth Mandler is 1154470193. It was assigned to this individual provider in the NPPES registry on January 9, 2007.

Where is Kenneth Mandler located?

Kenneth Mandler practices at 509 N Homestead Dr, Liberty Lake, WA 99019. The listed phone number is (509) 389-4783.

What is Kenneth Mandler's specialty?

The primary specialty registered for this NPI is Orthotist with taxonomy code 222Z00000X.

When was this NPI record last updated?

The NPPES record for Kenneth Mandler was last updated on October 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.