OrganizationActive
Advanced Custom Orthotics, Inc.
NPI 1053555417 · Customized Equipment (DME) · Chesterfield, MO
Provider details
- NPI number
- 1053555417
- Entity type
- Organization
- Primary specialty
- Customized Equipment (DME)Suppliers
- Organization subpart
- No
- Authorized official
- Donald Havey, President(636) 536-2514
Specialties & taxonomies
Suppliers
Practice location
17600 Chesterfield Airport Rd
Ste B5
Chesterfield, MO 63005-1246
Phone: (636) 536-2514
Approximate (ZIP-level) locationGet directions
Mailing address
17600 Chesterfield Airport Rd
Chesterfield, MO 63005-1246
Registry dates
- Enumerated
- 2009-04-28
- Last updated
- 2010-11-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.