Organization
AMPRO ORTHOTICS & PROSTHETICS, INC.
Active
Organization
AMPRO ORTHOTICS & PROSTHETICS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PETRA THIESSEN (OPERATIONS MANAGER)
(702) 457-3200
Entity
Organization
Contact information
Practice address
6877 S EASTERN AVE, LAS VEGAS, NV 89119-0008
(702) 457-3200
(702) 457-0908
Mailing address
6877 S EASTERN AVE, LAS VEGAS, NV 89119-0008
(702) 457-3200
(702) 457-0908
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BC3200X
Customized Equipment (DME)
—
—
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003302047
—
NV
Enumeration date
03/15/2006
Last updated
10/21/2011
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