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Trevor Dale Munger, CPO
Prosthetist in Wasilla, Alaska
NPI 1962761973

Trevor Dale Munger is a Prosthetist based in Anchorage, AK. Trevor Dale Munger practices in Wasilla, AK and has the professional credentials of CPO. The NPI Number for Trevor Dale Munger is 1962761973 and holds a License No. CPO01700 (Alaska).

The current practice location address for Trevor Dale Munger is 1700 E Bogard Rd Ste 104, Wasilla, AK and can be reached out via phone at 907-743-9991 and via fax at 907-743-9992.

Location: 1700 E Bogard Rd Ste 104, Wasilla, AK, 99507-1778
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1962761973
Provider Name
Trevor Dale Munger
Credential
CPO
Provider Entity Type
Individual
Gender
Male
Address
1700 E Bogard Rd Ste 104, Wasilla, AK, 99507-1778
Phone Number
907-743-9991
Fax Number
907-743-9992
Provider Enumeration Date
05/10/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1700 E Bogard Rd Ste 104
City
Wasilla
State
Alaska
Zip
99654-6563
Phone Number
907-743-9991
Fax Number
907-743-9992
person
Provider Business Mailing Address Details
Address
1700 E Bogard Rd Ste 104
City
Wasilla
State
Alaska
Zip
99654-6563
Phone Number
907-743-9991
Fax Number
907-743-9992
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Orthotist
Speciality
-
Taxonomy
222Z00000X
License No.
CPO01700 (Delaware)
Definition
A health care professional who is specifically educated and trained to manage comprehensive orthotic patient care, including musculoskeletal and neuromuscular anomalies resulting from injuries or disease processes involving the lower extremity, upper extremity or spinal segment/s and positional deformation of the cranium. Orthotists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.
person
Provider's Taxonomy Details 2
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Pedorthist
Speciality
-
Taxonomy
224L00000X
License No.
CPO01700 (Delaware)
Definition
An individual who is trained in the management and treatment of conditions of the foot, ankle, and lower extremities requiring fitting, fabricating, and adjusting of pedorthic devices.
person
Provider's Taxonomy Details 3
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Prosthetist
Speciality
-
Taxonomy
224P00000X
License No.
CPO01700 (Delaware)
Definition
A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.
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