Individual provider · Type 1 NPI

Bruce Patrick McClellan, C.P.O.

Orthotist · Tyler, TX

NPI number 1104976182 Active

Practice location

1122 E Front St
Tyler, TX 75702-8414

Fax (903) 595-3862

Specialties and licenses

TaxonomyCodeLicense
Orthotist Primary 222Z00000X25 (TX)
Prosthetist 224P00000X25 (TX)

Orthotist: A health care professional who is specifically educated and trained to manage comprehensive orthotic patient care, including musculoskeletal and neuromuscular anomalies resulting from injuries or disease processes involving the lower extremity, upper extremity or spinal segment/s and positional deformation of the cranium. Orthotists assess specific patient needs, formulate an appropriate treatment plan, implement th…

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About NPI 1104976182

Bruce Patrick McClellan, C.P.O.'s National Provider Identifier is 1104976182, issued on Jan 11, 2007. The primary taxonomy on file is Orthotist (222Z00000X), and the practice location is in Tyler, TX. The record was last updated on Sep 11, 2025.