Organization · Type 2 NPI

Pediatric Orthotic and Prosthetic Services- West, LLC

Prosthetic/Orthotic Supplier · Salt Lake City, UT

NPI number 1225430150 Active

Practice location

1275 E Fairfax Rd
Salt Lake City, UT 84103-4324

Call (801) 536-3820 Map

Fax (801) 536-3731

Mailing address

PO Box 947109
Atlanta, GA 30394-7109

Specialties and licenses

TaxonomyCodeLicense
Prosthetic/Orthotic Supplier Primary 335E00000XNone listed

Prosthetic/Orthotic Supplier: An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.

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About NPI 1225430150

Pediatric Orthotic and Prosthetic Services- West, LLC's National Provider Identifier is 1225430150, issued on Sep 23, 2014. The primary taxonomy on file is Prosthetic/Orthotic Supplier (335E00000X), and the practice location is in Salt Lake City, UT. The record was last updated on Mar 3, 2026.