Healthcare Provider Details

I. General information

NPI: 1285011734
Provider Name (Legal Business Name): ORTHOTIC PRISTHETIC SOLUTIONS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/05/2015
Last Update Date: 05/05/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7336 S. YOSEMITE ST. UNIT 200
CENTENNIAL CO
80012-2340
US

IV. Provider business mailing address

1015 ROBERTSON ST
FORT COLLINS CO
80524-3926
US

V. Phone/Fax

Practice location:
  • Phone: 303-770-0100
  • Fax:
Mailing address:
  • Phone: 970-484-8388
  • Fax: 970-419-8870

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: SHEILA ANN CYNKAR
Title or Position: ACOUNTING
Credential:
Phone: 970-484-8388