Healthcare Provider Details

I. General information

NPI: 1144551292
Provider Name (Legal Business Name): ORTHOPEDIC MOTION INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/28/2010
Last Update Date: 10/01/2021
Certification Date: 10/01/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

890 MILL ST STE 205
RENO NV
89502-1477
US

IV. Provider business mailing address

3233 W CHARLESTON BLVD SUITE 203
LAS VEGAS NV
89102
US

V. Phone/Fax

Practice location:
  • Phone: 775-437-5777
  • Fax: 775-437-5777
Mailing address:
  • Phone: 702-697-7070
  • Fax: 702-697-7077

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. ADAM STRYKER
Title or Position: CEO
Credential:
Phone: 775-437-5777