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Organization
ORTHOTECHS O&P
Active
Organization
ORTHOTECHS O&P
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JACOB SIKES C.O. (DIRECTOR OF OPERATIONS)
(308) 865-6105
Entity
Organization
Contact information
Practice address
7 WEST 31ST ST, KEARNEY, NE 68847
(308) 865-6105
(308) 865-6106
Mailing address
7 WEST 31ST ST, KEARNEY, NE 68847
(308) 865-6105
(308) 865-6106
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025258600
—
NE
Enumeration date
03/05/2007
Last updated
08/22/2020
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