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EPIC PROSTHETICS AND ORTHOTICS LLC NPI 1629722889


NPI Information

NPI: 1629722889
Provider Name: EPIC PROSTHETICS AND ORTHOTICS, LLC
Classification: Prosthetic/Orthotic Supplier - 335E00000X
Entity Type: Organization
Address:
635 N MAIN ST STE 691
RICHFIELD, UT
ZIP 84701
Phone: (801) 820-0087
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EPIC PROSTHETICS AND ORTHOTICS, LLC is a prosthetic orthotic supplier in Richfield, UT. 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. EPIC PROSTHETICS AND ORTHOTICS, LLC NPI is 1629722889. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

635 N MAIN ST STE 691
RICHFIELD, UT
ZIP 84701-895
Phone: (801) 820-0087
Fax: (801) 820-2852

The provider's authorized official is Jake Coburn Davis .
The authorized official title is Owner/clinical Manager and has the following contact phone number (801) 820-0045.

The enumeration date for this NPI number is 2/7/2022 and was last updated on 2/7/2022.


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
1222Z00000XOrthotistNo
2224P00000XProsthetistNo
3335E00000XProsthetic/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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.