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Creative Pedorthics, Llc
Pedorthist in Temple, Texas
NPI 1972864353

Creative Pedorthics, Llc is a Pedorthist based in Temple, TX. Creative Pedorthics, Llc practices in Temple, TX. The NPI Number for Creative Pedorthics, Llc is 1972864353 and holds a License No. (Texas).

The current practice location address for Creative Pedorthics, Llc is 1616 Azalea Dr, Temple, TX and can be reached out via phone at 254-773-2693.

Location: 1616 Azalea Dr, Temple, TX, 76502-2774
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1972864353
Provider Name
Creative Pedorthics, Llc
Credential
Provider Entity Type
Organization
Address
1616 Azalea Dr, Temple, TX, 76502-2774
Phone Number
254-773-2693
Fax Number
Provider Enumeration Date
06/02/2012
Last Update Date
02/15/2025
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Provider's Legacy Identifiers
Identifier Type State Issuer
6716820001 01 TX MEDICARE PTAN
institution
Provider Business Practice Location Address Details
Address
1616 Azalea Dr
City
Temple
State
Texas
Zip
76502-2774
Phone Number
254-773-2693
Fax Number
person
Provider Business Mailing Address Details
Address
1616 Azalea Dr
City
Temple
State
Texas
Zip
76502-2774
Phone Number
254-773-2693
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Pedorthist
Speciality
-
Taxonomy
224L00000X
License No.
()
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.
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