Individual provider · Type 1 NPI
Matthew Shane Evans, CPO
Prosthetist · Modesto, CA
NPI number
1245476597
Active
Practice location
1705 Coffee Rd, Suite 1
Modesto, CA 95355-2809
Fax (209) 544-2274
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Prosthetist Primary | 224P00000X | CPO02042 (CA) |
| Orthotist | 222Z00000X | CPO02042 (CA) |
| Pedorthist | 224L00000X | CPO02042 (CA) |
| Prosthetic/Orthotic Supplier | 335E00000X | CPO02042 (CA) |
Prosthetist: A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.
2 other providers at this address
Other prosthetist providers in Modesto
About NPI 1245476597
Matthew Shane Evans, CPO's National Provider Identifier is 1245476597, issued on Dec 16, 2008. The primary taxonomy on file is Prosthetist (224P00000X), and the practice location is in Modesto, CA. The record was last updated on May 22, 2014.