| NPI | 1225873094 |
|---|---|
| Doing Business As | PIVOT PROSTHETICS |
| Entity Type | Organization |
| Authorized Contact | BRODIE RICE Owner 307-696-8016 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 224P00000X Prosthetist |
| Additional Taxonomies | 222Z00000X Orthotist |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2024-06-25 |
| Last Update Date | 2024-11-20 |