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CUSTOM PROSTHETIC, LTD.
NPI 1710008537
Anaplastologist in Tacoma, WA

Active since April 02, 2007
705 OPERA ALY STE K, TACOMA, WA 98402(253) 327-1924(206) 826-1790 Get Directions Write a Review

NPPES record last updated: October 25, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 25, 2019, Sep 30, 2015 (2 updates tracked since 2015).

About Custom Prosthetic, Ltd. NPPES

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

CUSTOM PROSTHETIC, LTD. (NPI 1710008537) is a healthcare organization registered as an anaplastologist in Tacoma, Washington and active in the NPI registry since April 2007. The organization lists Sharon A Haggerty, President, Anaplastologist, as its authorized official.

NPPES Registry Identity

NPI1710008537
Entity TypeOrganization
Primary Taxonomy229N00000X
Legal Business NameCUSTOM PROSTHETIC, LTD.
Location Address705 OPERA ALY STE KTacoma, WA 98402-3734
Mailing Address705 Opera Aly Ste KTacoma, WA 98402-3734 · (253) 327-1924 · Fax (206) 826-1790
Phone(253) 327-1924
Fax(206) 826-1790
Organization SubpartNo
Authorized OfficialSharon A HaggertyPresident, Anaplastologist · (253) 327-6192
Enumeration DateApril 2, 2007
Last NPPES UpdateOctober 25, 20192 updates tracked since enumeration
✔ NPI 1710008537 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnaplastologistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code229N00000X
Definition
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).
705 OPERA ALY STE K, Tacoma, WA 98402
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Other Identifiers 2

Other0170345WA · Labor & Industries
Medicaid9044017WA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Custom Prosthetic, Ltd.'s NPI number?

The NPI number for Custom Prosthetic, Ltd. is 1710008537. It was assigned to this organization in the NPPES registry on April 2, 2007.

Where is Custom Prosthetic, Ltd. located?

Custom Prosthetic, Ltd. is located at 705 Opera Aly Ste K, Tacoma, WA 98402. The listed phone number is (253) 327-1924.

What is Custom Prosthetic, Ltd.'s specialty?

The primary specialty registered for this NPI is Anaplastologist with taxonomy code 229N00000X.

When was this NPI record last updated?

The NPPES record for Custom Prosthetic, Ltd. was last updated on October 25, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.