Organization · Type 2 NPI

Northern Orthotic and Prosthetic Center

Prosthetic/Orthotic Supplier · Grand Rapids, MN

NPI number 1417364100 Active

Practice location

1279 S Pokegama Ave
Grand Rapids, MN 55744-4208

Fax (218) 301-0044

Specialties and licenses

TaxonomyCodeLicense
Customized Equipment (DME) 332BC3200XNone listed
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.

About NPI 1417364100

Northern Orthotic and Prosthetic Center's National Provider Identifier is 1417364100, issued on Jul 15, 2014. The primary taxonomy on file is Prosthetic/Orthotic Supplier (335E00000X), and the practice location is in Grand Rapids, MN. The record was last updated on Jul 22, 2014.