IndividualActive
Thomas Penfold, CPO
NPI 1043351307 · Orthotist · Baraga, MI
Provider details
- NPI number
- 1043351307
- Entity type
- Individual
- Primary specialty
- OrthotistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- CPO
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Prosthetist224P00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
509 S Superior Ave
Baraga, MI 49908-9698
Phone: (906) 353-7161
Fax: (906) 353-7000
Approximate (ZIP-level) locationGet directions
Mailing address
509 S Superior Ave
Baraga, MI 49908-9698
Registry dates
- Enumerated
- 2007-02-09
- Last updated
- 2025-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.