| NPI | 1255998290 |
|---|---|
| Doing Business As | ORTHOKINETIX |
| Entity Type | Organization |
| Authorized Contact | MICHAEL GREGORY WELLS President 909-908-3920 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 222Z00000X Orthotist |
| 224L00000X | |
| 224P00000X Prosthetist | |
| 225000000X Orthotic Fitter | |
| Enumeration Date | 2019-05-24 |
| Last Update Date | 2019-05-24 |