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Idaho Orthotic Prosthetic Services, Inc
Prosthetic/Orthotic Supplier in Fruitland, Idaho
NPI 1801942354

Idaho Orthotic Prosthetic Services, Inc is a Prosthetic/Orthotic Supplier based in Beaverton, ID. Idaho Orthotic Prosthetic Services, Inc practices in Fruitland, ID. The NPI Number for Idaho Orthotic Prosthetic Services, Inc is 1801942354 and holds a License No. (Idaho).

The current practice location address for Idaho Orthotic Prosthetic Services, Inc is 425 S Whitley Dr Ste 431, Fruitland, ID and can be reached out via phone at 208-884-1294 and via fax at 208-884-1293.

Location: 425 S Whitley Dr Ste 431, Fruitland, ID, 97008-7111
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1801942354
Provider Name
Idaho Orthotic Prosthetic Services, Inc
Credential
Provider Entity Type
Organization
Address
425 S Whitley Dr Ste 431, Fruitland, ID, 97008-7111
Phone Number
208-884-1294
Fax Number
208-884-1293
Provider Enumeration Date
01/26/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000010148826 01 ID BLUE SHIELD IDAHO
8K537 01 ID TRUE BLUE BLUE CROSS IDAH
807031400 05 ID
277882 05 OR
8K537 01 ID BLUE CROSS IDAHO
institution
Provider Business Practice Location Address Details
Address
425 S Whitley Dr Ste 431
City
Fruitland
State
Idaho
Zip
83619-2611
Phone Number
208-884-1294
Fax Number
208-884-1293
person
Provider Business Mailing Address Details
Address
425 S Whitley Dr Ste 431
City
Fruitland
State
Idaho
Zip
83619-2611
Phone Number
208-884-1294
Fax Number
208-884-1293
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
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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