# PEDIATRIC ORTHOTIC AND PROSTHETIC SERVICES- WEST, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** PEDIATRIC ORTHOTIC AND PROSTHETIC SERVICES- WEST, LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1225430150
- **Legal business name:** PEDIATRIC ORTHOTIC AND PROSTHETIC SERVICES- WEST, LLC
- **Authorized official:** DAVID R DRAPER CPO (DIRECTOR)
- **Authorized official phone:** (801) 536-3827

## Contact information

- **Practice address:** 1275 E FAIRFAX RD, SALT LAKE CITY, UT 84103-4324
- **Practice address phone:** (801) 536-3820
- **Practice address fax:** (801) 536-3731
- **Mailing address:** PO BOX 947109, ATLANTA, GA 30394-7109
- **Mailing address phone:** (813) 367-2876
- **Mailing address fax:** (813) 518-7659

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 335E00000X | Prosthetic/Orthotic Supplier | — | UT | Yes |

## Other

- **Enumeration date:** 09/23/2014
- **Last updated:** 03/03/2026