Organization
INTEGRATED ORTHO, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATIE ANDERSEN (OWNER)
(877) 398-9540
Entity
Organization
Contact information
Practice address
970 W BROADWAY, 408, JACKSON, WY 83001-9475
(877) 398-9540
(307) 460-7020
Mailing address
970 W BROADWAY, PO BOX 30,0002 #408, JACKSON, WY 83001-9475
(877) 398-9540
(307) 460-7020
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
07/07/2014
Last updated
08/05/2014
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