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ADVANCED PROSTHETICS AND ORTHOTICS LLC NPI 1518448638


NPI Information

NPI: 1518448638
Provider Name: ADVANCED PROSTHETICS AND ORTHOTICS LLC

Other Name: KORMYLO ORTHOPEDIC

Classification: Prosthetic/Orthotic Supplier - 335E00000X
Entity Type: Organization
Address:
1070 N CURTIS RD STE 150
BOISE, ID
ZIP 83706
Phone: (208) 377-4024
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ADVANCED PROSTHETICS AND ORTHOTICS LLC is a prosthetic orthotic supplier in Boise, ID. 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. ADVANCED PROSTHETICS AND ORTHOTICS LLC NPI is 1518448638. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Kormylo Orthopedic.

The provider's business location address is:

1070 N CURTIS RD STE 150
BOISE, ID
ZIP 83706-248
Phone: (208) 377-4024
Fax: (844) 274-2789

The provider's authorized official is Stephanie Walker Mcdonald .
The authorized official title is Owner and has the following contact phone number (208) 985-5190.

The enumeration date for this NPI number is 8/27/2018 and was last updated on 10/19/2023.


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
1224P00000XProsthetistNo
2335E00000XProsthetic/Orthotic SupplierYes

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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