Healthcare Provider Details

I. General information

NPI: 1265640478
Provider Name (Legal Business Name): MESA ORTHOPEDIC INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/19/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2305 N 7TH ST
GRAND JUNCTION CO
81501-8117
US

IV. Provider business mailing address

2305 N 7TH ST
GRAND JUNCTION CO
81501-8117
US

V. Phone/Fax

Practice location:
  • Phone: 970-242-3210
  • Fax: 970-242-3219
Mailing address:
  • Phone: 970-242-3210
  • Fax: 970-242-3219

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number State

VIII. Authorized Official

Name: MR. RICHARD L SCHNELL
Title or Position: PRESIDENT-OWNER-CERTIFIED ORTHOTIST
Credential: CO
Phone: 970-242-3210