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NPI Code Detail

MEDICARE: DECKER INTEGRATED ORTHOTICS AND PROSTHETICS, LLC

MEDICARE: DECKER INTEGRATED ORTHOTICS AND PROSTHETICS, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1332B00000XDurable Medical Equipment & Medical Supplies
2335E00000XProsthetic/Orthotic Supplier

General Provider Information

NPI Number : 1245438613
Entity Type Code : Organization
Provider Name (Legal Business Name) : DECKER INTEGRATED ORTHOTICS AND PROSTHETICS, LLC
Provider Business Mailing Address
First Line : 8931 W 75TH ST
Second Line :
City : OVERLAND PARK
State : KS
Zip : 66204-2208
Country : US
Telephone Number : 913-341-2661
Fax Number : 913-273-1313
Provider Business Practice Location Address
First Line : 8931 W 75TH ST
Second Line :
City : OVERLAND PARK
State : KS
Zip : 66204-2208
Country : US
Telephone Number : 913-341-2661
Fax Number : 913-273-1313
Authorized Official
Title or Position : CEO
Name : MR. LOREN J. DECKER
Credential : CP
Telephone Number : 913-341-2661
Provider Enumeration Date : 07/06/2007
Last Update Date : 01/26/2016

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Directions to “DECKER INTEGRATED ORTHOTICS AND PROSTHETICS, LLC ” Practice Location

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