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Marshall R Black, CPO
Prosthetist in Lewiston, Idaho
NPI 1154357242

Marshall R Black is a Prosthetist based in Lewiston, ID. Marshall R Black practices in Lewiston, ID and has the professional credentials of CPO. The NPI Number for Marshall R Black is 1154357242 and holds a License No. (Idaho).

The current practice location address for Marshall R Black is 823 16Th Ave, Lewiston, ID and can be reached out via phone at 208-798-0200 and via fax at 208-798-0201.

Location: 823 16Th Ave, Lewiston, ID, 83501-3733
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1154357242
Provider Name
Marshall R Black
Credential
CPO
Provider Entity Type
Individual
Gender
Male
Address
823 16Th Ave, Lewiston, ID, 83501-3733
Phone Number
208-798-0200
Fax Number
208-798-0201
Provider Enumeration Date
06/23/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
823 16Th Ave
City
Lewiston
State
Idaho
Zip
83501-3733
Phone Number
208-798-0200
Fax Number
208-798-0201
person
Provider Business Mailing Address Details
Address
823 16Th Ave
City
Lewiston
State
Idaho
Zip
83501-3733
Phone Number
208-798-0200
Fax Number
208-798-0201
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Orthotist
Speciality
-
Taxonomy
222Z00000X
License No.
()
Definition
A health care professional who is specifically educated and trained to manage comprehensive orthotic patient care, including musculoskeletal and neuromuscular anomalies resulting from injuries or disease processes involving the lower extremity, upper extremity or spinal segment/s and positional deformation of the cranium. Orthotists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.
person
Provider's Taxonomy Details 2
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Prosthetist
Speciality
-
Taxonomy
224P00000X
License No.
()
Definition
A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.
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