| NPI | 1326599812 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CASEY JOSEPH BRADSHAW Owner 303-565-3485 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: CO 042520280000) |
| Enumeration Date | 2016-10-19 |
| Last Update Date | 2016-10-19 |