Provider Demographics
NPI:1730362369
Name:ALTHEA'S FOOTWEAR SOLUTIONS
Entity type:Organization
Organization Name:ALTHEA'S FOOTWEAR SOLUTIONS
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:ALTHEA
Authorized Official - Middle Name:M
Authorized Official - Last Name:SCHLUMPF
Authorized Official - Suffix:
Authorized Official - Credentials:C-PED
Authorized Official - Phone:425-303-0108
Mailing Address - Street 1:1932 BROADWAY
Mailing Address - Street 2:
Mailing Address - City:EVERETT
Mailing Address - State:WA
Mailing Address - Zip Code:98201-2316
Mailing Address - Country:US
Mailing Address - Phone:425-303-0108
Mailing Address - Fax:425-303-2539
Practice Address - Street 1:7501 CUSTER RD W
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:WA
Practice Address - Zip Code:98499-8138
Practice Address - Country:US
Practice Address - Phone:253-473-4311
Practice Address - Fax:253-473-4408
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ALTHEA'S FOOTWEAR SOLUTIONS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-12-05
Last Update Date:2024-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA602070070335E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA3912790004Medicare NSC