# LIFE ORTHOTICS

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

## Provider details

- **NPI number:** 1437343142
- **Authorized official:** AMMIE J JAGGARS CDME (OWNER)
- **Authorized official phone:** (303) 928-1520

## Contact information

- **Practice address:** 9220 KIMMER DR STE 270A, LONE TREE, CO 80124-2878
- **Practice address phone:** (303) 928-1520
- **Practice address fax:** (720) 294-0170
- **Mailing address:** 9220 KIMMER DR STE 270A, LONE TREE, CO 80124-2878
- **Mailing address phone:** (303) 928-1520
- **Mailing address fax:** (720) 294-0170

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332BC3200X | Customized Equipment (DME) | — | NULL | — |
| 332BX2000X | Oxygen Equipment & Supplies (DME) | — | NULL | Yes |

## Other

- **Enumeration date:** 09/05/2007
- **Last updated:** 12/18/2020
