| NPI | 1245838523 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHAN SMITH Certified Orthotist Prosthetist 720-795-6438 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 222Z00000X Orthotist |
| 224P00000X Prosthetist | |
| 335E00000X Prosthetic/Orthotic Supplier | |
| Enumeration Date | 2020-10-09 |
| Last Update Date | 2023-03-16 |