# TILLGES CERTIFIED ORTHOTIC PROSTHETIC, INC.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1568428092
- **Authorized official:** MR. ROBERT JAMES TILLGES CPO (OWNER, PRESIDENT)
- **Authorized official phone:** (651) 772-2665

## Contact information

- **Practice address:** 1570 BEAM AVE, SUITE 100, MAPLEWOOD, MN 55109-1166
- **Practice address phone:** (651) 772-2665
- **Practice address fax:** (651) 771-6553
- **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:** 07/31/2007