Organization · Type 2 NPI

Promyse-Prosthetic Orthotic Group

Prosthetic/Orthotic Supplier · Shreveport, LA

NPI number 1811961436 Active

Practice location

3227 Portland Ave
Shreveport, LA 71103-4026

Fax (318) 636-3746

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.

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About NPI 1811961436

Promyse-Prosthetic Orthotic Group's National Provider Identifier is 1811961436, issued on Feb 13, 2006. The primary taxonomy on file is Prosthetic/Orthotic Supplier (335E00000X), and the practice location is in Shreveport, LA. The record was last updated on Jul 9, 2026.