NPI 1154721785

Pediatric Orthotic and Prosthetic Services - Midwest, LLC

Organisation Prosthetic/Orthotic Supplier Woodbury, MN

Practice location

Address: 215 Radio Dr STE 100, Woodbury, MN 55125-5817
Phone: (612) 593-6205
Fax: (612) 335-5396
Mailing address: PO Box 947109, Atlanta, GA 30394-7109

Authorised official

Name: Jeffrey J Bruce
Title: Manager
Phone: (612) 596-6205

Registered specialties

Prosthetic/Orthotic Supplier Primary

Suppliers Taxonomy 335E00000X

Other Prosthetic/Orthotic Supplier providers in Minnesota →

Registry record

NPI: 1154721785
Entity type: Organization
NPI issued: 2 Sep 2014
Record last updated: 23 Apr 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.