# TILLGES CERTIFIED ORTHOTIC PROSTHETIC, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275599706
- **Authorized official:** MR. THOMAS TILLGES (OPERATIONS OFFICER)
- **Authorized official phone:** (651) 772-2665

## Contact information

- **Practice address:** 563 BIELENBERG DR, SUITE 110, WOODBURY, MN 55125-1415
- **Practice address phone:** (651) 735-0818
- **Practice address fax:** (651) 735-1232
- **Mailing address:** 1570 BEAM AVE, SUITE 100, MAPLEWOOD, MN 55109-1166
- **Mailing address phone:** (651) 772-2665
- **Mailing address fax:** (651) 771-6553

## Taxonomy

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

## Other

- **Enumeration date:** 04/24/2006
- **Last updated:** 01/17/2025