Organization
KOOTENAI PROSTHETIC ORTHOTIC SERVICES INC
Active
Other names
Kootenai Prosthetics Orthotics
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN ANTHONY BLAS CPO (CPO/ VICE PRESIDENT)
(208) 457-1545
Entity
Organization
Contact information
Practice address
1160 E POLSTON AVE, POST FALLS, ID 83854-6045
(208) 457-1545
(208) 457-1659
Mailing address
1160 E POLSTON AVE STE A, POST FALLS, ID 83854-6045
(208) 457-1545
(208) 457-1659
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
06/04/2012
Last updated
07/10/2025
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