| NPI | 1174392740 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL D FREHNER CEO 702-979-4468 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Additional Taxonomies | 225000000X Orthotic Fitter |
| Enumeration Date | 2023-12-25 |
| Last Update Date | 2023-12-25 |