| NPI | 1497621460 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYEN RASHELLE ORIE Provider 719-398-5544 |
| Organization Subpart ? | No |
| Primary Taxonomy | 224P00000X Prosthetist |
| Additional Taxonomies | 225000000X Orthotic Fitter |
| Enumeration Date | 2025-10-15 |
| Last Update Date | 2025-10-15 |