NPI 1154525764

Shawn D Gillespie, CPO

Practitioner Prosthetist Yuma, AZ

Practice location

Address: 2281 W 24th St STE 14, Yuma, AZ 85364-6154
Phone: (928) 314-0030
Fax: (928) 314-0040

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: 1154525764
Entity type: Individual
Sex (as registered): Male
NPI issued: 14 Jun 2007
Record last updated: 11 Sep 2025

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.