NPI 1225430150

Pediatric Orthotic and Prosthetic Services- West, LLC

Organisation Prosthetic/Orthotic Supplier Salt Lake City, UT

Practice location

Address: 1275 E Fairfax Rd, Salt Lake City, UT 84103-4324
Phone: (801) 536-3820
Fax: (801) 536-3731
Mailing address: PO Box 947109, Atlanta, GA 30394-7109

Authorised official

Name: David R Draper
Title: Director
Phone: (801) 536-3827

Registered specialties

Prosthetic/Orthotic Supplier Primary

Suppliers Taxonomy 335E00000X

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Registry record

NPI: 1225430150
Entity type: Organization
NPI issued: 23 Sep 2014
Record last updated: 3 Mar 2026

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.