MR. JUSTIN MICHAEL TEGERSTRAND CPO
NPI 1013417393
Prosthetist in Redding, CA

Q: What is Justin Tegerstrand's NPI number?

The NPI number for Justin Tegerstrand is 1013417393. It was assigned to this individual provider in the NPPES registry on February 13, 2018.

Q: What is Justin Tegerstrand's specialty?

The primary specialty registered for this NPI is Prosthetist with taxonomy code 224P00000X.

Active since February 13, 2018

2102 CIVIC CENTER DR, REDDING, CA 96001(530) 241-4040(530) 241-4092 Get Directions Write a Review

NPPES record last updated: June 30, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 30, 2021, Apr 4, 2019, Mar 17, 2018 and 1 more (4 updates tracked since 2018).

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About Mr. Justin Michael Tegerstrand Cpo NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. JUSTIN MICHAEL TEGERSTRAND CPO (NPI 1013417393) is an individual prosthetist provider in Redding, California and active in the NPI registry since February 2018. He maintains 2 additional practice locations.

NPPES Registry Identity

NPI1013417393

Entity TypeIndividualMale

Primary Taxonomy224P00000X

Provider Legal NameMR. JUSTIN MICHAEL TEGERSTRANDCredential: CPO

Location Address2102 CIVIC CENTER DRRedding, CA 96001-2704

Mailing Address2102 Civic Center DrRedding, CA 96001-2704 · (530) 241-4040 · Fax (530) 241-4092

Phone(530) 241-4040

Fax(530) 241-4092

Sole ProprietorNo

Enumeration DateFebruary 13, 2018

Last NPPES UpdateJune 30, 20214 updates tracked since enumeration

NPPES CertifiedJune 30, 2021

✔ NPI 1013417393 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyProsthetistRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code224P00000X

Definition

A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.

Also ListedOrthotistTaxonomy 222Z00000X

2102 CIVIC CENTER DR, Redding, CA 96001

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Secondary Practice Locations 2

Location 1206 Roelofs Ct Ste AMount Shasta, CA 96067-2765 · Phone (530) 926-0560 · Fax (530) 926-0560

Location 2574 Manzanita Ave Ste 11Chico, CA 95926-1369 · Phone (530) 965-5164 · Fax (530) 241-4040

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DEANNA HANSEN CO

Orthotist