NPI 1275935207

Pediatric Orthotic and Prosthetic Services - Northwest, LLC

Organisation Prosthetic/Orthotic Supplier Saint Louis, MO

Practice location

Address: 4400 Clayton Ave, Saint Louis, MO 63110-1624
Phone: (314) 872-7891
Mailing address: PO Box 947109, Atlanta, GA 30394-7109

Authorised official

Name: Darren Rottmann
Title: Manager
Phone: (314) 872-7891

Registered specialties

Prosthetic/Orthotic Supplier Primary

Suppliers Taxonomy 335E00000X

Other Prosthetic/Orthotic Supplier providers in Missouri →

Registry record

NPI: 1275935207
Entity type: Organization
NPI issued: 22 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.