Organization · Type 2 NPI

Personal Performance Medical Corporation

Prosthetic/Orthotic Supplier · Midvale, UT

NPI number 1528041662 Active

Practice location

7575 S 900 E
Midvale, UT 84047-2343

Fax (801) 872-5714

Specialties and licenses

Taxonomy	Code	License
Prosthetic/Orthotic Supplier Primary	335E00000X	19793280 (UT)

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.

7 other providers at this address

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NPI record

NPI: 1528041662
Entity type: Organization (Type 2)
Issued: Nov 22, 2005
Last updated: Jul 5, 2024
Status: Active

Other names

<unavail>
Fit-Well Prosthetic & Orthotic Center · doing business as
Fit-Well Prosthetic & Orthotic Center · doing business as

Authorized official

Mr. Scott E Allen, CERTIFIED PROSTHETIS
Owner
(801) 364-3100

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About NPI 1528041662

Personal Performance Medical Corporation's National Provider Identifier is 1528041662, issued on Nov 22, 2005. The primary taxonomy on file is Prosthetic/Orthotic Supplier (335E00000X), and the practice location is in Midvale, UT. The record was last updated on Jul 5, 2024.