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Mid-missouri Orthotics & Prosthetics
Prosthetic/Orthotic Supplier in Jefferson City, Missouri
NPI 1740265495

Mid-missouri Orthotics & Prosthetics is a Prosthetic/Orthotic Supplier based in Jefferson City, MO. Mid-missouri Orthotics & Prosthetics practices in Jefferson City, MO. The NPI Number for Mid-missouri Orthotics & Prosthetics is 1740265495 and holds a License No. (Missouri).

The current practice location address for Mid-missouri Orthotics & Prosthetics is 3559 Amazonas Dr, Jefferson City, MO and can be reached out via phone at 573-636-9611 and via fax at 573-636-9632.

Location: 3559 Amazonas Dr, Jefferson City, MO, 65109-5717
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1740265495
Provider Name
Mid-missouri Orthotics & Prosthetics
Credential
Provider Entity Type
Organization
Address
3559 Amazonas Dr, Jefferson City, MO, 65109-5717
Phone Number
573-636-9611
Fax Number
573-636-9632
Provider Enumeration Date
12/14/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
522024 01 MO HEALTHLINK
41486 01 MO HEALTHCARE USA
627800907 05 MO
166056 01 MO BLUE CROSS/BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
3559 Amazonas Dr
City
Jefferson City
State
Missouri
Zip
65109-5717
Phone Number
573-636-9611
Fax Number
573-636-9632
person
Provider Business Mailing Address Details
Address
3559 Amazonas Dr
City
Jefferson City
State
Missouri
Zip
65109-5717
Phone Number
573-636-9611
Fax Number
573-636-9632
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
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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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