# TILLGES CERTIFIED ORTHOTIC PROSTHETIC, INC.

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

## Provider details

- **NPI number:** 1598576613
- **Authorized official:** THOMAS TILLGES (OPERATIONS OFFICER)
- **Authorized official phone:** (651) 379-5581

## Contact information

- **Practice address:** 3879 COON RAPIDS BLVD NW, COON RAPIDS, MN 55433-2518
- **Practice address phone:** (651) 772-2665
- **Mailing address:** 1570 BEAM AVE STE 100, MAPLEWOOD, MN 55109-3136
- **Mailing address phone:** (651) 772-2665

## Taxonomy

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

## Other

- **Enumeration date:** 01/17/2025
- **Last updated:** 03/04/2025