institution
Clearwater Orthotics And Prosthetics, Llc
Prosthetic/Orthotic Supplier in Lewiston, Idaho
NPI 1285852004

Clearwater Orthotics And Prosthetics, Llc is a Prosthetic/Orthotic Supplier based in Hayden, ID. Clearwater Orthotics And Prosthetics, Llc practices in Lewiston, ID. The NPI Number for Clearwater Orthotics And Prosthetics, Llc is 1285852004 and holds a License No. (Idaho).

The current practice location address for Clearwater Orthotics And Prosthetics, Llc is 801 Bryden Ave, Lewiston, ID and can be reached out via phone at 208-798-4605. You can also correspond with Clearwater Orthotics And Prosthetics, Llc through the mailing address at PO BOX 2620, HAYDEN, ID - 83835-2620 (mailing address contact number: ).

Location: 801 Bryden Ave, Lewiston, ID, 83835-2620
institution
Provider Profile Details
NPI Number
1285852004
Provider Name
Clearwater Orthotics And Prosthetics, Llc
Credential
Provider Entity Type
Organization
Address
801 Bryden Ave, Lewiston, ID, 83835-2620
Phone Number
208-798-4605
Fax Number
Provider Enumeration Date
04/24/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
805399000 05 ID
9047259 05 WA
000010028073 01 ID REGENCE BLUE SHIELD OF ID
135273 01 WA L&I
8M820 01 ID BLUE CROSS OF IDAHO
institution
Provider Business Practice Location Address Details
Address
801 Bryden Ave
City
State
Zip
83501-4927
Phone Number
208-798-4605
Fax Number
person
Provider Business Mailing Address Details
Address
801 Bryden Ave
City
State
Zip
83501-4927
Phone Number
208-798-4605
Fax Number
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
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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