Organization
WASATCH ORTHOTICS & PEDORTHICS, LLC
Active
Parent organization
HANGER ORTHOPEDIC GROUP
Organization subpart
Yes
Provider details
NPI number
Legal business name
HANGER ORTHOPEDIC GROUP
Authorized official
MS. SHERYL S PRICE (DIRECTOR OF REIMBURSEMENT)
(503) 493-8288
Entity
Organization
Contact information
Practice address
887 E VINE ST, SALT LAKE CITY, UT 84107-6515
(801) 293-8777
(801) 293-0231
Mailing address
887 E VINE ST, SALT LAKE CITY, UT 84107-6515
(801) 293-8777
(801) 293-0231
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
QM0000036359
ALTIUS
—
Enumeration date
09/21/2005
Last updated
08/18/2010
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