Provider Demographics
NPI:1609978451
Name:FELTHOUSE, DONALD L
Entity Type:Individual
Prefix:MR
First Name:DONALD
Middle Name:L
Last Name:FELTHOUSE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:A-112-BRC BLIND REHABILITATION CTR
Mailing Address - Street 2:AMERICAN LAKE VA
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98493-0001
Mailing Address - Country:US
Mailing Address - Phone:253-583-1221
Mailing Address - Fax:253-589-4112
Practice Address - Street 1:A-112-BRC BLIND REHABILITATION CTR
Practice Address - Street 2:AMERICAN LAKE VA
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98493-0001
Practice Address - Country:US
Practice Address - Phone:253-583-1221
Practice Address - Fax:253-589-4112
Is Sole Proprietor?:No
Enumeration Date:2006-09-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255R0406XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistRehabilitation, Blind