CREATIVE CUSTOM FOOT ORTHOTICS, LLC
NPI 1619669793
Durable Medical Equipment & Medical Supplies - Customized Equipment in Denver, CO
Active since May 25, 2023
About Creative Custom Foot Orthotics, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CREATIVE CUSTOM FOOT ORTHOTICS, LLC (NPI 1619669793) is a healthcare organization registered as a customized equipment in Denver, Colorado and active in the NPI registry since May 2023. The organization lists Andrew D. Kelly, Owner/practitioner, as its authorized official.
NPPES Registry Identity
NPI1619669793
Entity TypeOrganization
Primary Taxonomy332BC3200X
Legal Business NameCREATIVE CUSTOM FOOT ORTHOTICS, LLC
Location Address5500 E YALE AVE STE 110Denver, CO 80222-6930
Mailing Address5500 E Yale Ave Ste 110Denver, CO 80222-6930 · (303) 669-3771
Phone(303) 669-3771
Fax(303) 382-4600
Organization SubpartNo
Authorized OfficialAndrew D. KellyOwner/practitioner · (303) 669-3771
Enumeration DateMay 25, 2023
NPPES CertifiedMay 25, 2023
✔ NPI 1619669793 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyDurable Medical Equipment & Medical Supplies · Customized EquipmentSuppliers
Taxonomy Code332BC3200X
5500 E YALE AVE STE 110, Denver, CO 80222
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1619669793, enumerated as an "organization" on May 25, 2023.
The provider is located at 5500 E YALE AVE STE 110 DENVER, CO 80222 and the phone number is (303) 669-3771.
Durable Medical Equipment & Medical Supplies with taxonomy code 332BC3200X and a focus in Customized Equipment.