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Pacific Footwear Company, Inc
Prosthetic/Orthotic Supplier in Bountiful, Utah
NPI 1861632671

Pacific Footwear Company, Inc is a Prosthetic/Orthotic Supplier based in Portland, UT. Pacific Footwear Company, Inc practices in Bountiful, UT. The NPI Number for Pacific Footwear Company, Inc is 1861632671 and holds a License No. (Utah).

The current practice location address for Pacific Footwear Company, Inc is 45 North Main Street, Bountiful, UT and can be reached out via phone at 801-688-5787 and via fax at 801-295-2445.

Location: 45 North Main Street, Bountiful, UT, 97223-4358
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1861632671
Provider Name
Pacific Footwear Company, Inc
Credential
Provider Entity Type
Organization
Address
45 North Main Street, Bountiful, UT, 97223-4358
Phone Number
801-688-5787
Fax Number
801-295-2445
Provider Enumeration Date
03/06/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
260051087001 05 UT
institution
Provider Business Practice Location Address Details
Address
45 North Main Street
City
Bountiful
State
Utah
Zip
84010
Phone Number
801-688-5787
Fax Number
801-295-2445
person
Provider Business Mailing Address Details
Address
45 North Main Street
City
Bountiful
State
Utah
Zip
84010
Phone Number
801-688-5787
Fax Number
801-295-2445
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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