Healthcare Provider Details

I. General information

NPI: 1902283146
Provider Name (Legal Business Name): ORTHOTIC PROSTHETIC SOLUTIONS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/27/2015
Last Update Date: 04/27/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8300 ALCOTT ST SUITE 105
WESTMINSTER CO
80031
US

IV. Provider business mailing address

1015 ROBERTSON ST
FORT COLLINS CO
80524-3926
US

V. Phone/Fax

Practice location:
  • Phone: 970-484-8388
  • Fax: 970-419-8870
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 CYNKAR
Title or Position: DIRECTOR
Credential:
Phone: 970-484-8388