# SPECIALIZED ORTHOTIC & PROSTHETIC TECHNOLOGIES

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- **Entity:** Organization
- **Status:** Active
- **Other names:** SPOT
- **Organization subpart:** No

## Provider details

- **NPI number:** 1871729939
- **Authorized official:** SHERYL PRICE (DIRECTOR OF REIMBURSEMENT)
- **Authorized official phone:** (503) 493-8288

## Contact information

- **Practice address:** 5292 COLLEGE DR STE 103, SALT LAKE CITY, UT 84123-2958
- **Practice address phone:** (801) 266-7768
- **Mailing address:** 5292 COLLEGE DR STE 103, SALT LAKE CITY, UT 84123-2958
- **Mailing address phone:** (801) 266-7768

## Taxonomy

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

## Other

- **Enumeration date:** 06/03/2009
- **Last updated:** 06/03/2009
