# JENCO PROSTHETICS & ORTHOTICS, LLC

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

## Provider details

- **NPI number:** 1851612725
- **Authorized official:** PATRICK HITE (OWNER)
- **Authorized official phone:** (801) 566-5795

## Contact information

- **Practice address:** 1153 N MAIN ST, SUITE B-140, LOGAN, UT 84341-2495
- **Practice address phone:** (435) 750-6579
- **Practice address fax:** (801) 566-5790
- **Mailing address:** 1153 N MAIN ST, SUITE B-140, LOGAN, UT 84341-2495
- **Mailing address phone:** (435) 750-6579
- **Mailing address fax:** (801) 566-5790

## Taxonomy

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

## Other

- **Enumeration date:** 06/15/2010
- **Last updated:** 06/15/2010