NPI 1326599812

Certified Prosthetics & Orthotics, LLC

Organisation Prosthetic/Orthotic Supplier Greeley, CO

Practice location

Address: 1620 25th Ave Suite a, Greeley, CO 80634-4960
Phone: (970) 356-2123
Fax: (970) 352-4943
Mailing address: 8101 E Lowry Blvd Suite 240, Denver, CO 80230-7196

Authorised official

Name: Casey Joseph Bradshaw
Title: Owner
Phone: (303) 565-3485

Registered specialties

Prosthetic/Orthotic Supplier Primary

Suppliers Taxonomy 335E00000X Licence 042520280000 (CO)

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Registry record

NPI: 1326599812
Entity type: Organization
NPI issued: 19 Oct 2016
Record last updated: 19 Oct 2016

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.