Organization · Type 2 NPI
State of Oklahoma
Prosthetic/Orthotic Supplier · Okmulgee, OK
Practice location
1801 E 4th St
Okmulgee, OK 74447-3942
Fax (918) 293-5407
Mailing address
PO Box 2506
Okmulgee, OK 74447-8501
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Customized Equipment (DME) | 332BC3200X | 3 (OK) |
| Prosthetic/Orthotic Supplier | 335E00000X | 3 (OK) |
| Prosthetic/Orthotic Supplier Primary | 335E00000X | 13 (OK) |
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.
4 other providers at this address
About NPI 1770544769
State of Oklahoma's National Provider Identifier is 1770544769, issued on Mar 29, 2006. The primary taxonomy on file is Prosthetic/Orthotic Supplier (335E00000X), and the practice location is in Okmulgee, OK. The record was last updated on Sep 11, 2025.