| NPI | 1295200558 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN J GREER Owner 801-997-1367 |
| Organization Subpart ? | No |
| Primary Taxonomy | 224P00000X Prosthetist |
| Additional Taxonomies | 222Z00000X Orthotist |
| Enumeration Date | 2018-10-12 |
| Last Update Date | 2018-10-12 |