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Tom Reis Prosthetics Llc
Prosthetic/Orthotic Supplier in Johnston, Iowa
NPI 1376726158

Tom Reis Prosthetics Llc is a Prosthetic/Orthotic Supplier based in Johnston, IA. Tom Reis Prosthetics Llc practices in Johnston, IA. The NPI Number for Tom Reis Prosthetics Llc is 1376726158 and holds a License No. CP-1182 (Iowa).

The current practice location address for Tom Reis Prosthetics Llc is 5460 Merle Hay Rd Ste C, Johnston, IA and can be reached out via phone at 515-254-0244 and via fax at 515-254-0309.

Location: 5460 Merle Hay Rd Ste C, Johnston, IA, 50131-1239
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1376726158
Provider Name
Tom Reis Prosthetics Llc
Credential
Provider Entity Type
Organization
Address
5460 Merle Hay Rd Ste C, Johnston, IA, 50131-1239
Phone Number
515-254-0244
Fax Number
515-254-0309
Provider Enumeration Date
12/14/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
20927 01 IA WELLMARK
0198226 05 IA
institution
Provider Business Practice Location Address Details
Address
5460 Merle Hay Rd Ste C
City
Johnston
State
Iowa
Zip
50131-1239
Phone Number
515-254-0244
Fax Number
515-254-0309
person
Provider Business Mailing Address Details
Address
5460 Merle Hay Rd Ste C
City
Johnston
State
Iowa
Zip
50131-1239
Phone Number
515-254-0244
Fax Number
515-254-0309
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
CP-1182 (Iowa)
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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