NPI 1417994500

Richard Shane Coltrain, CPO

Practitioner Prosthetist Greenville, NC

Practice location

Address: 1025 Wh Smith Blvd Suite 108, Greenville, NC 27834-5052
Phone: (252) 215-2215
Fax: (252) 215-2216

Registered specialties (2)

Prosthetist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224P00000X Licence CPO 2469 (VA)

Other Prosthetist providers in North Carolina →

Orthotist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 222Z00000X Licence CPO 2469 (VA)

Other Orthotist providers in North Carolina →

Registry record

NPI: 1417994500
Entity type: Individual
Sex (as registered): Male
NPI issued: 31 May 2006
Record last updated: 3 Apr 2013

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.