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Idaho Prosthetics & Orthotics, Inc.
Prosthetic/Orthotic Supplier in Pocatello, Idaho
NPI 1952433971

Idaho Prosthetics & Orthotics, Inc. is a Prosthetic/Orthotic Supplier based in Pocatello, ID. Idaho Prosthetics & Orthotics, Inc. practices in Pocatello, ID. The NPI Number for Idaho Prosthetics & Orthotics, Inc. is 1952433971 and holds a License No. (Idaho).

The current practice location address for Idaho Prosthetics & Orthotics, Inc. is 333 N 18Th Ave Ste B4, Pocatello, ID and can be reached out via phone at 208-478-8000 and via fax at 208-478-8801.

Location: 333 N 18Th Ave Ste B4, Pocatello, ID, 83201-3322
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1952433971
Provider Name
Idaho Prosthetics & Orthotics, Inc.
Credential
Provider Entity Type
Organization
Address
333 N 18Th Ave Ste B4, Pocatello, ID, 83201-3322
Phone Number
208-478-8000
Fax Number
208-478-8801
Provider Enumeration Date
03/12/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
805166100 05 ID
institution
Provider Business Practice Location Address Details
Address
333 N 18Th Ave Ste B4
City
Pocatello
State
Idaho
Zip
83201-3322
Phone Number
208-478-8000
Fax Number
208-478-8801
person
Provider Business Mailing Address Details
Address
333 N 18Th Ave Ste B4
City
Pocatello
State
Idaho
Zip
83201-3322
Phone Number
208-478-8000
Fax Number
208-478-8801
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
(Idaho)
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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