Healthcare Provider Details

I. General information

NPI: 1295720258
Provider Name (Legal Business Name): MOBILE ORTHOTICS & PROSTHETICS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/15/2005
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1137 E BRIDGE ST
BRIGHTON CO
80601-2232
US

IV. Provider business mailing address

1137 E BRIDGE ST
BRIGHTON CO
80601-2232
US

V. Phone/Fax

Practice location:
  • Phone: 303-659-0017
  • Fax:
Mailing address:
  • Phone: 303-659-0017
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number State

VIII. Authorized Official

Name: KATIE WARFIELD
Title or Position: PRESIDENT
Credential:
Phone: 303-659-0017