NPI 1699786525
Clearwater Orthotics & Prosthetics
Practice location
- Address
- 801 Bryden Ave, Lewiston, ID 83501-4927
- Phone
- (818) 357-5732
- Fax
- (818) 357-5732
- Mailing address
- PO Box 2620, Hayden, ID 83835-2620
Authorised official
- Name
- Karen Hale
- Title
- Business Office Manager
- Phone
- (818) 357-5732
Registered specialties
Prosthetic/Orthotic Supplier
Primary
Registry record
- NPI
- 1699786525
- Entity type
- Organization
- NPI issued
- 9 Aug 2006
- Record last updated
- 11 Oct 2011
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.