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Glacier Prosthetic Care, Inc.
Prosthetic/Orthotic Supplier in Ponderay, Idaho
NPI 1750410825

Glacier Prosthetic Care, Inc. is a Prosthetic/Orthotic Supplier based in Kalispell, ID. Glacier Prosthetic Care, Inc. practices in Ponderay, ID. The NPI Number for Glacier Prosthetic Care, Inc. is 1750410825 and holds a License No. 385 (Idaho).

The current practice location address for Glacier Prosthetic Care, Inc. is 205 Vermeer Dr, Ponderay, ID and can be reached out via phone at 208-255-4106 and via fax at 208-255-4102. You can also correspond with Glacier Prosthetic Care, Inc. through the mailing address at 985 N MERIDIAN RD, KALISPELL, MT - 59901-3539 (mailing address contact number: 406-755-3344).

Location: 205 Vermeer Dr, Ponderay, ID, 59901-3539
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1750410825
Provider Name
Glacier Prosthetic Care, Inc.
Credential
Provider Entity Type
Organization
Address
205 Vermeer Dr, Ponderay, ID, 59901-3539
Phone Number
208-255-4106
Fax Number
208-255-4102
Provider Enumeration Date
03/05/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
807555300 05 ID
institution
Provider Business Practice Location Address Details
Address
205 Vermeer Dr
City
Ponderay
State
Idaho
Zip
83852-1660
Phone Number
208-255-4106
Fax Number
208-255-4102
person
Provider Business Mailing Address Details
Address
205 Vermeer Dr
City
Ponderay
State
Idaho
Zip
83852-1660
Phone Number
208-255-4106
Fax Number
208-255-4102
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
385 (Washington)
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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