CLEARWATER ORTHOTICS & PROSTHETICS NPI 1699786525

NPI Information

CLEARWATER ORTHOTICS & PROSTHETICS is a prosthetic orthotic supplier in Lewiston, 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. CLEARWATER ORTHOTICS & PROSTHETICS NPI is 1699786525. The provider is registered as an organization entity type.

The provider's business location address is:

801 BRYDEN AVE
LEWISTON, ID
ZIP 83501-927
Phone: (818) 357-5732
Fax: (818) 357-5732

The provider's authorized official is Karen Hale .
The authorized official title is Business Office Manager and has the following contact phone number (818) 357-5732.

The enumeration date for this NPI number is 8/9/2006 and was last updated on 10/11/2011.

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

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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