NPI 1376624593

Ultra Prosthetics

Organisation Prosthetic/Orthotic Supplier Carson City, NV

Practice location

Address: 20 Affonso Dr STE G, Carson City, NV 89706-7794
Phone: (800) 858-7276
Fax: (775) 882-1561
Mailing address: PO Box 22201, Carson City, NV 89721-2201

Authorised official

Name: Daniel O Haney
Title: Owner
Phone: (800) 858-7576

Registered specialties

Prosthetic/Orthotic Supplier Primary

Suppliers Taxonomy 335E00000X Licence 72165 (NV)

Other Prosthetic/Orthotic Supplier providers in Nevada →

Registry record

NPI: 1376624593
Entity type: Organization
NPI issued: 17 Oct 2006
Record last updated: 14 Dec 2015

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.