NPI 1316700743

Prosthetic & Orthotic Group Boulder LLC

Organisation Prosthetic/Orthotic Supplier Boulder, CO

Practice location

Address: 2850 Iris Ave STE I4, Boulder, CO 80301-1493
Phone: (303) 381-4500
Fax: (970) 416-9359

Authorised official

Name: Glenn Matsushima
Title: Ceo
Phone: (562) 595-6445

Registered specialties

Prosthetic/Orthotic Supplier Primary

Suppliers Taxonomy 335E00000X

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Registry record

NPI: 1316700743
Entity type: Organization
NPI issued: 30 Jan 2024
Record last updated: 12 Sep 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.