Organization
ORTHOPRO OF TWIN FALLS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL SCOTT JOHNSON (OWNER/CPO)
(208) 733-0505
Entity
Organization
Contact information
Practice address
1437 PARKVIEW DR STE 200, TWIN FALLS, ID 83301-4167
(208) 733-0505
(208) 735-2117
Mailing address
1437 PARKVIEW DR STE 200, TWIN FALLS, ID 83301-4167
(208) 733-0505
(208) 735-2117
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
806646900
—
ID
Enumeration date
03/12/2007
Last updated
01/07/2021
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