Individual provider · Type 1 NPI
Jeremy Shupperd, CPO
Prosthetist · Boise, ID
NPI number
1306698071
Active
Practice location
427 N Curtis Rd
Boise, ID 83706-1439
Fax (208) 342-4106
Other practice locations
- 504 N 10th Ave Ste A, Caldwell, ID 83605-2925 · (208) 453-6404
- 542 Addison Ave W, Twin Falls, ID 83301-5039 · (208) 342-4104
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthotist | 222Z00000X | None listed |
| Prosthetist Primary | 224P00000X | None listed |
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 Boise
About NPI 1306698071
Jeremy Shupperd, CPO's National Provider Identifier is 1306698071, issued on Apr 4, 2024. The primary taxonomy on file is Prosthetist (224P00000X), and the practice location is in Boise, ID. The record was last updated on Apr 4, 2024.