CREATIVE ORTHOTIC LABS
NPI 1912283953
Prosthetic/Orthotic Supplier in Glendale, AZ

Active since October 21, 2011
8608 N 59TH AVE, GLENDALE, AZ 85302(623) 934-3213(623) 930-1891 Get Directions Write a Review

NPPES record last updated: October 21, 2011. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Creative Orthotic Labs NPPES

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

CREATIVE ORTHOTIC LABS (NPI 1912283953) is a healthcare organization registered as a prosthetic/orthotic supplier in Glendale, Arizona and active in the NPI registry since October 2011. The organization lists Sherri Lynn Hazelwood, President, as its authorized official.

NPPES Registry Identity

NPI1912283953
Entity TypeOrganization
Primary Taxonomy335E00000X
Legal Business NameCREATIVE ORTHOTIC LABS
Location Address8608 N 59TH AVEGlendale, AZ 85302-5404
Mailing Address8608 N 59th AveGlendale, AZ 85302-5404 · (623) 934-3213 · Fax (623) 930-1891
Fax(623) 930-1891
Organization SubpartNo
Authorized OfficialSherri Lynn HazelwoodPresident · (623) 934-3213
Enumeration DateOctober 21, 2011
NPI 1912283953 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyProsthetic/Orthotic SupplierSuppliers
Taxonomy Code335E00000X
License Licensed in AZ · 20519930X
Definition

An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.

8608 N 59TH AVE, Glendale, AZ 85302

Other Providers at the Same Location NPPES 9

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

Prosthetic/Orthotic Supplier
8608 N 59TH AVE
GLENDALE, AZ 85302
Clinic/Center (Ambulatory Surgical)
8608 N 59TH AVE
GLENDALE, AZ 85302
Podiatrist (Foot & Ankle Surgery)
8608 N 59TH AVE
GLENDALE, AZ 85302
Internal Medicine
8608 N 59TH AVE
GLENDALE, AZ 85302
Family Medicine
8608 N 59TH AVE
GLENDALE, AZ 85302
Physician Assistant
8608 N 59TH AVE
GLENDALE, AZ 85302
Physician Assistant
8608 N 59TH AVE
GLENDALE, AZ 85302
Family Medicine
8608 N 59TH AVE
GLENDALE, AZ 85302

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1912283953, enumerated as an "organization" on October 21, 2011.

The provider is located at 8608 N 59TH AVE GLENDALE, AZ 85302 and the phone number is (623) 934-3213.

Prosthetic/Orthotic Supplier with taxonomy code 335E00000X.