Healthcare Provider Details

I. General information

NPI: 1447649074
Provider Name (Legal Business Name): HORIZON ORTHOTIC & PROSTHETIC EXPERIENCE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/20/2015
Last Update Date: 03/25/2021
Certification Date: 07/29/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1251 SW ARROWHEAD RD SUITE D
TOPEKA KS
66604-4061
US

IV. Provider business mailing address

11775 W 112TH ST SUITE 101
OVERLAND PARK KS
66210-2747
US

V. Phone/Fax

Practice location:
  • Phone: 785-215-6688
  • Fax: 785-286-7761
Mailing address:
  • Phone: 913-663-4673
  • Fax: 913-338-4002

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: MR. MICHAEL SCHULTZ
Title or Position: OWNER/PRACTIONER
Credential: C.P.O.
Phone: 913-663-4673