CREATIVE CUSTOM FOOT ORTHOTICS LLC NPI 1619669793

NPI Information

NPI: 1619669793
Provider Name: CREATIVE CUSTOM FOOT ORTHOTICS, LLC
Classification: Durable Medical Equipment & Medical Supplies - 332BC3200X
Specialization: Customized Equipment
Entity Type: Organization
Address: 5500 E YALE AVE STE 110
DENVER, CO
ZIP 80222
Phone: (303) 669-3771

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NPI Details

CREATIVE CUSTOM FOOT ORTHOTICS, LLC is a customized equipment durable medical equipment medical supplies in Denver, CO. CREATIVE CUSTOM FOOT ORTHOTICS, LLC NPI is 1619669793. The provider is registered as an organization entity type.

The provider's business location address is:

5500 E YALE AVE STE 110
DENVER, CO
ZIP 80222-930
Phone: (303) 669-3771
Fax: (303) 382-4600

The provider's authorized official is Andrew D. Kelly .
The authorized official title is Owner/practitioner and has the following contact phone number (303) 669-3771.

The enumeration date for this NPI number is 5/25/2023 and was last updated on 5/25/2023.

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 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: 11/21/2025

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