NPI 1275140022
Mosaic Orthotics and Prosthetics LLC
Practice location
- Address
- 617 N 17th St # 102, Colorado Springs, CO 80904-3577
- Phone
- (719) 271-5857
- Mailing address
- 6305 Montarbor Dr, Colorado Springs, CO 80918-4875
Authorised official
- Name
- Jonathan Moore
- Title
- Certified Prosthetist Orthotist
- Phone
- (719) 231-7893
Registered specialties
Prosthetic/Orthotic Supplier
Primary
Registry record
- NPI
- 1275140022
- Entity type
- Organization
- NPI issued
- 25 Sep 2020
- Record last updated
- 25 Sep 2020
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.