CUSTOM CARE ORTHOTICS INC NPI 1447222054

NPI Information

CUSTOM CARE ORTHOTICS, INC is a prosthetic orthotic supplier in Minneapolis, MN. 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. CUSTOM CARE ORTHOTICS, INC NPI is 1447222054. The provider is registered as an organization entity type.

The provider's business location address is:

910 E 26TH ST
460
MINNEAPOLIS, MN
ZIP 55404-526
Phone: (612) 871-5000
Fax: (612) 871-3800

The provider's authorized official is Carol Jean Hentges .
The authorized official title is Owner/orthotist and has the following contact phone number (612) 871-5000.

The enumeration date for this NPI number is 2/7/2006 and was last updated on 8/22/2020.

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:

Other Identifiers

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