Organization
NEVADA ORTHOTICS & PROSTHETICS, INC
Active
Parent organization
NEVADA ORTHOTICS & PROSTHETICS, INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
NEVADA ORTHOTICS & PROSTHETICS, INC
Authorized official
PETRA THIESSEN (OFFICE MANAGER)
(702) 233-5500
Entity
Organization
Contact information
Practice address
1863 AIRFIED AVENUE, KINGMAN, AZ 86401-4004
(928) 718-3987
(702) 233-2131
Mailing address
3435 W CHEYENNE AVE STE 102, NORTH LAS VEGAS, NV 89032-8207
(702) 233-5500
(702) 233-5500
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
12/06/2019
Last updated
10/06/2022
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