NPI 1013417393

Justin Michael Tegerstrand, CPO

Practitioner Prosthetist Redding, CA

Practice location

Address: 2102 Civic Center Dr, Redding, CA 96001-2704
Phone: (530) 241-4040
Fax: (530) 241-4092

Registered specialties (2)

Prosthetist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224P00000X

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Orthotist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 222Z00000X

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Registry record

NPI: 1013417393
Entity type: Individual
Sex (as registered): Male
NPI issued: 13 Feb 2018
Record last updated: 30 Jun 2021

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.