NPI 1528041662

Personal Performance Medical Corporation

Organisation Prosthetic/Orthotic Supplier Midvale, UT

Practice location

Address: 7575 S 900 E, Midvale, UT 84047-2343
Phone: (801) 364-3100
Fax: (801) 872-5714

Authorised official

Name: Scott E Allen
Title: Owner
Phone: (801) 364-3100

Registered specialties

Prosthetic/Orthotic Supplier Primary

Suppliers Taxonomy 335E00000X Licence 19793280 (UT)

Other Prosthetic/Orthotic Supplier providers in Utah →

Registry record

NPI: 1528041662
Entity type: Organization
NPI issued: 22 Nov 2005
Record last updated: 5 Jul 2024

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.