Organization
NEVADA ORTHOTICS & PROSTHETICS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETRA THIESSEN CFM (OPERATIONS MANAGER)
(702) 233-5500
Entity
Organization
Contact information
Practice address
3435 W CHEYENNE AVE, SUITE 102, NORTH LAS VEGAS, NV 89032-8206
(702) 233-5500
(702) 233-2131
Mailing address
3435 W CHEYENNE AVE, SUITE 102, NORTH LAS VEGAS, NV 89032-8206
(702) 233-5500
(702) 233-2131
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1255664165
—
NV
01
—
CPO02365
AMERICAN BOARD FOR CERTIFICATION IN ORTHOTICS AND PROSTHETICS INC.
DE
01
—
MP00636
NEVADA STATE BOARD OF PHARMACY, MEDICAL DEVICES, EQUIPTMENT, GAS LICENSE
NV
Enumeration date
09/09/2009
Last updated
10/06/2022
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