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SOUTHEASTERN OKLAHOMA FOOT TECHNOLOGY LLC NPI 1356893192


NPI Information

NPI: 1356893192
Provider Name: SOUTHEASTERN OKLAHOMA FOOT TECHNOLOGY, LLC
Classification: Prosthetic/Orthotic Supplier - 335E00000X
Entity Type: Organization
Address:
1 CHOCTAW WAY
TALIHINA, OK
ZIP 74571
Phone: (918) 567-7000
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SOUTHEASTERN OKLAHOMA FOOT TECHNOLOGY, LLC is a prosthetic orthotic supplier in Talihina, OK. The provider is 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. SOUTHEASTERN OKLAHOMA FOOT TECHNOLOGY, LLC NPI is 1356893192. The provider is registered as an organization entity type.

The provider's business location address is:

1 CHOCTAW WAY
TALIHINA, OK
ZIP 74571-022
Phone: (918) 567-7000

The provider's authorized official is Denisia Lee Deramus .
The authorized official title is Owner / Cped and has the following contact phone number (918) 567-7000.

The enumeration date for this NPI number is 10/27/2016 and was last updated on 10/27/2016.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1335E00000XProsthetic/Orthotic Supplier154OKLAHOMAYes

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

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