Individual provider · Type 1 NPI

Tracey Lea Liput

Prosthetic/Orthotic Supplier · Port Orange, FL

NPI number 1487524302 Active

Practice location

4647 Clyde Morris Blvd Unit 501
Port Orange, FL 32129-3001

Call (386) 293-1016 Map

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.

36 other providers at this address

About NPI 1487524302

Tracey Lea Liput's National Provider Identifier is 1487524302, issued on Nov 6, 2025. The primary taxonomy on file is Prosthetic/Orthotic Supplier (335E00000X), and the practice location is in Port Orange, FL. The record was last updated on Nov 6, 2025.