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Jason Riley, CP
Prosthetic/Orthotic Supplier in Longmont, Colorado
NPI 1184076721

Jason Riley is a Prosthetic/Orthotic Supplier based in Longmont, CO. Jason Riley practices in Longmont, CO and has the professional credentials of CP. The NPI Number for Jason Riley is 1184076721 and holds a License No. 20-4846654 (Colorado).

The current practice location address for Jason Riley is 1446 Hover St, Longmont, CO and can be reached out via phone at 720-652-0100 and via fax at 720-652-0202.

Location: 1446 Hover St, Longmont, CO, 80501-2485
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1184076721
Provider Name
Jason Riley
Credential
CP
Provider Entity Type
Individual
Gender
Male
Address
1446 Hover St, Longmont, CO, 80501-2485
Phone Number
720-652-0100
Fax Number
720-652-0202
Provider Enumeration Date
07/07/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1446 Hover St
City
Longmont
State
Colorado
Zip
80501-2485
Phone Number
720-652-0100
Fax Number
720-652-0202
person
Provider Business Mailing Address Details
Address
1446 Hover St
City
Longmont
State
Colorado
Zip
80501-2485
Phone Number
720-652-0100
Fax Number
720-652-0202
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
20-4846654 (Colorado)
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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