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Mr. Benjamin M Guenther, CO,LPO
Prosthetist in Tyler, Texas
NPI 1306271838

Benjamin M Guenther is a Prosthetist based in Tyler, TX. Benjamin M Guenther practices in Tyler, TX and has the professional credentials of CO,LPO. The NPI Number for Benjamin M Guenther is 1306271838 and holds a License No. OI60339265 (Texas).

The current practice location address for Benjamin M Guenther is 1110 Medical Dr, Tyler, TX and can be reached out via phone at 903-592-5900 and via fax at 903-592-6683. You can also correspond with Benjamin M Guenther through the mailing address at 1110 MEDICAL DR, TYLER, TX - 75701-2109 (mailing address contact number: 903-592-5900).

Location: 1110 Medical Dr, Tyler, TX, 75701-2109
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1306271838
Provider Name
Benjamin M Guenther
Credential
CO,LPO
Provider Entity Type
Individual
Gender
Male
Address
1110 Medical Dr, Tyler, TX, 75701-2109
Phone Number
903-592-5900
Fax Number
903-592-6683
Provider Enumeration Date
09/03/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
OI60339265 01 WA STATE LICENSE
PS60452668 01 WA PROSTHETIC LICENSE
institution
Provider Business Practice Location Address Details
Address
1110 Medical Dr
City
Tyler
State
Texas
Zip
75701-2109
Phone Number
903-592-5900
Fax Number
903-592-6683
person
Provider Business Mailing Address Details
Address
1110 Medical Dr
City
Tyler
State
Texas
Zip
75701-2109
Phone Number
903-592-5900
Fax Number
903-592-6683
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Orthotist
Speciality
-
Taxonomy
222Z00000X
License No.
PS60452668 (Washington)
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.
OI60339265 (Washington)
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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