Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Kenneth Alan Mandler, COCERTIFIEDORTHO

Individual provider Orthotist · NPI 1154470193

Mr. Kenneth Alan Mandler, COCERTIFIEDORTHO is an Orthotist in Liberty Lake, Washington. Practices as a sole proprietor. Licensed in Washington.

Licensed in
WA
In the registry since
2007

Practice location Address checks out

509 N Homestead Dr
Liberty Lake, WA 99019-7580
Phone: (509) 389-4783
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthotist (primary) Taxonomy 222Z00000X · Licence DI00000466 (WA)

Record details

NPI number1154470193
Entity typeIndividual (Type 1)
GenderMale
Credentials COCERTIFIEDORTHO
Sole proprietorYes
NPI enumeratedJanuary 9, 2007
Last updated in NPPESOctober 18, 2023
Certification dateNovember 1, 2020