institution
Clearwater Orthotics & Prosthetics
Prosthetic/Orthotic Supplier in Lewiston, Idaho
NPI 1699786525

Clearwater Orthotics & Prosthetics is a Prosthetic/Orthotic Supplier based in Hayden, ID. Clearwater Orthotics & Prosthetics practices in Lewiston, ID. The NPI Number for Clearwater Orthotics & Prosthetics is 1699786525 and holds a License No. (Idaho).

The current practice location address for Clearwater Orthotics & Prosthetics is 801 Bryden Ave, Lewiston, ID and can be reached out via phone at 818-357-5732 and via fax at 818-357-5732. You can also correspond with Clearwater Orthotics & Prosthetics through the mailing address at PO BOX 2620, HAYDEN, ID - 83835-2620 (mailing address contact number: 818-357-5732).

Location: 801 Bryden Ave, Lewiston, ID, 83835-2620
institution
Provider Profile Details
NPI Number
1699786525
Provider Name
Clearwater Orthotics & Prosthetics
Credential
Provider Entity Type
Organization
Address
801 Bryden Ave, Lewiston, ID, 83835-2620
Phone Number
818-357-5732
Fax Number
818-357-5732
Provider Enumeration Date
08/09/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000010028073 01 ID REGENCE BLUE SHIELD
805399000 05 ID
9047259 05 WA
135273 01 WA LABOR & INDUSTRIES
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
818-357-5732
Fax Number
818-357-5732
person
Provider Business Mailing Address Details
Address
801 Bryden Ave
City
State
Zip
83501-4927
Phone Number
818-357-5732
Fax Number
818-357-5732
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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