NPI 1235571811

Certified Prosthetics & Orthotics, LLC

Organisation Prosthetic/Orthotic Supplier Scottsbluff, NE

Practice location

Address: 2621 5th Ave, Scottsbluff, NE 69361-1745
Phone: (308) 635-3700
Fax: (308) 635-3709

Authorised official

Name: Casey Joseph Bradshaw
Title: Partner/Owner
Phone: (308) 635-3700

Registered specialties

Prosthetic/Orthotic Supplier Primary

Suppliers Taxonomy 335E00000X Licence 10561404 (NE)

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Registry record

NPI: 1235571811
Entity type: Organization
NPI issued: 23 Jul 2013
Record last updated: 23 Jul 2013

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.