Orthopro Of Twin Falls, INC.
Prosthetic/Orthotic Supplier in Idaho Falls, ID. Organization (NPI-2).
NPI number1194535682
StatusActive
Last updated in NPPESJan 8, 2025
Details
- NPI
- 1194535682
- Entity type
- Organization (NPI-2)
- Legal business name
- Orthopro Of Twin Falls, INC.
- Organization subpart
- Yes
- Enumeration date
- Jan 8, 2025
- Certification date
- Jan 8, 2025
- Last updated
- Jan 8, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 335E00000X | Prosthetic/Orthotic Supplier | – | – | Yes |
Practice location
3438 S 15th E Ste 100Idaho Falls, ID 83404-8262
Phone 208-878-0501 · Fax 208-734-0766
Mailing address
1437 Park View Dr Ste 200Twin Falls, ID 83301-3250
Phone 208-733-0505 · Fax 208-734-0766
Authorized official
Stacey D Johnson
Office Manager
2087330505
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