Organization · Type 2 NPI
Glacier Prosthetic Care, Inc.
Prosthetic/Orthotic Supplier · Ponderay, ID
Practice location
205 Vermeer Dr, Suite C
Ponderay, ID 83852-1660
Fax (208) 255-4102
Mailing address
985 N Meridian Rd
Kalispell, MT 59901-3539
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Prosthetic/Orthotic Supplier Primary | 335E00000X | 385 (WA) |
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 1750410825
Glacier Prosthetic Care, Inc.'s National Provider Identifier is 1750410825, issued on Mar 5, 2007. The primary taxonomy on file is Prosthetic/Orthotic Supplier (335E00000X), and the practice location is in Ponderay, ID. The record was last updated on Nov 18, 2009.