institution
Tillges Certified Orthotic Prosthetic, Inc.
Prosthetic/Orthotic Supplier in Maplewood, Minnesota
NPI 1568428092

Tillges Certified Orthotic Prosthetic, Inc. is a Prosthetic/Orthotic Supplier based in Maplewood, MN. Tillges Certified Orthotic Prosthetic, Inc. practices in Maplewood, MN. The NPI Number for Tillges Certified Orthotic Prosthetic, Inc. is 1568428092 and holds a License No. (Minnesota).

The current practice location address for Tillges Certified Orthotic Prosthetic, Inc. is 1570 Beam Ave, Maplewood, MN and can be reached out via phone at 651-772-2665 and via fax at 651-771-6553.

Location: 1570 Beam Ave, Maplewood, MN, 55109-1166
institution
Provider Profile Details
NPI Number
1568428092
Provider Name
Tillges Certified Orthotic Prosthetic, Inc.
Credential
Provider Entity Type
Organization
Address
1570 Beam Ave, Maplewood, MN, 55109-1166
Phone Number
651-772-2665
Fax Number
651-771-6553
Provider Enumeration Date
04/24/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
54075 01 ND NORTH DAKOTA MEDICAID
2G045TI 01 MN BLUECROSS/BLUE SHIELD
41783200 01 WI WISCONSIN MEDICAID
1018417 01 MN PREFERRED ONE
102162 01 MN UCARE
8200376 01 MN MEDICA
21446 01 MN HEALTH PARTNERS
institution
Provider Business Practice Location Address Details
Address
1570 Beam Ave
City
State
Zip
55109-1166
Phone Number
651-772-2665
Fax Number
651-771-6553
person
Provider Business Mailing Address Details
Address
1570 Beam Ave
City
State
Zip
55109-1166
Phone Number
651-772-2665
Fax Number
651-771-6553
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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