GOAL PEDIATRIC ORTHOTICS LLC NPI 1699304089

NPI Information

NPI: 1699304089
Provider Name: GOAL PEDIATRIC ORTHOTICS LLC
Classification: Durable Medical Equipment & Medical Supplies - 332BC3200X
Entity Type: Organization

Specialization: Customized Equipment

Address:
471 E 1000 S STE D
PLEASANT GROVE, UT
ZIP 84062
Phone: (385) 215-9985
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GOAL PEDIATRIC ORTHOTICS LLC is a customized equipment durable medical equipment medical supplies in Pleasant Grove, UT. GOAL PEDIATRIC ORTHOTICS LLC NPI is 1699304089. The provider is registered as an organization entity type.

The provider's business location address is:

471 E 1000 S STE D
PLEASANT GROVE, UT
ZIP 84062-694
Phone: (385) 215-9985
Fax: (877) 225-9880

The provider's authorized official is David Patterson .
The authorized official title is Owner and has the following contact phone number (385) 215-9985.

The enumeration date for this NPI number is 4/7/2020 and was last updated on 1/17/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	332BC3200X	Durable Medical Equipment & Medical Supplies	Customized Equipment			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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