Healthcare Provider Details

I. General information

NPI: 1851578454
Provider Name (Legal Business Name): RIGHT STEP PROSTHETICS INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/25/2008
Last Update Date: 03/23/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

59 S 200 E
ROOSEVELT UT
84066-3106
US

IV. Provider business mailing address

59 S 200 E
ROOSEVELT UT
84066-3106
US

V. Phone/Fax

Practice location:
  • Phone: 801-867-4210
  • Fax:
Mailing address:
  • Phone: 801-867-4210
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code224P00000X
TaxonomyProsthetist
License Number
License Number State

VIII. Authorized Official

Name: MR. PAUL W BRINKERHOFF
Title or Position: OWNER
Credential: C.P.
Phone: 801-867-4210