NPI 1376726158

Tom Reis Prosthetics LLC

Organisation Prosthetic/Orthotic Supplier Johnston, IA

Practice location

Address: 5460 Merle Hay Rd STE C, Johnston, IA 50131-1239
Phone: (515) 254-0244
Fax: (515) 254-0309

Authorised official

Name: Thomas W. Reis
Title: Owner
Phone: (515) 254-0244

Registered specialties

Prosthetic/Orthotic Supplier Primary

Suppliers Taxonomy 335E00000X Licence CP-1182 (IA)

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Registry record

NPI: 1376726158
Entity type: Organization
NPI issued: 14 Dec 2007
Record last updated: 14 Dec 2007

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.