| NPI | 1023379377 |
|---|---|
| Doing Business As | KOOTENAI PROSTHETICS ORTHOTICS |
| Entity Type | Organization |
| Authorized Contact | ROBERT A MILLER President/CPO 208-457-1545 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2012-06-04 |
| Last Update Date | 2015-09-25 |