Individual provider · Type 1 NPI
John M. Fenton Iii, CPO
Prosthetic/Orthotic Supplier · Republic, MO
Practice location
838 Rachel St
Republic, MO 65738-1721
Fax (417) 732-8902
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Prosthetic/Orthotic Supplier Primary | 335E00000X | None 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.
About NPI 1376811489
John M. Fenton Iii, CPO's National Provider Identifier is 1376811489, issued on Dec 2, 2011. The primary taxonomy on file is Prosthetic/Orthotic Supplier (335E00000X), and the practice location is in Republic, MO. The record was last updated on Dec 2, 2011.