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Wasatch Orthotics & Pedorthics, Llc
Prosthetic/Orthotic Supplier in Salt Lake City, Utah
NPI 1164418505

Wasatch Orthotics & Pedorthics, Llc is a Prosthetic/Orthotic Supplier based in Salt Lake City, UT. Wasatch Orthotics & Pedorthics, Llc practices in Salt Lake City, UT. The NPI Number for Wasatch Orthotics & Pedorthics, Llc is 1164418505 and holds a License No. (Utah).

The current practice location address for Wasatch Orthotics & Pedorthics, Llc is 887 E Vine St, Salt Lake City, UT and can be reached out via phone at 801-293-8777 and via fax at 801-293-0231.

Location: 887 E Vine St, Salt Lake City, UT, 84107-6515
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1164418505
Provider Name
Wasatch Orthotics & Pedorthics, Llc
Credential
Provider Entity Type
Organization
Address
887 E Vine St, Salt Lake City, UT, 84107-6515
Phone Number
801-293-8777
Fax Number
801-293-0231
Provider Enumeration Date
09/21/2005
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
QM0000036359 01 ALTIUS
institution
Provider Business Practice Location Address Details
Address
887 E Vine St
City
Salt Lake City
State
Utah
Zip
84107-6515
Phone Number
801-293-8777
Fax Number
801-293-0231
person
Provider Business Mailing Address Details
Address
887 E Vine St
City
Salt Lake City
State
Utah
Zip
84107-6515
Phone Number
801-293-8777
Fax Number
801-293-0231
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
()
Definition
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
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