OrganizationActive
Gallup Limb and Brace Co Inc
NPI 1114002219 · Prosthetist · Gallup, NM
Provider details
- NPI number
- 1114002219
- Entity type
- Organization
- Primary specialty
- ProsthetistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Justin Marshall, President/Owner(505) 722-5756
- License
- CP002174
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
927 West Aztec Avenue
Gallup, NM 87301
Phone: (505) 722-5756
Fax: (505) 722-6726
Approximate (ZIP-level) locationGet directions
Mailing address
927 West Aztec Avenue
Gallup, NM 87301
Other names (DBA / former)
- Other name
- Gallup Artificial Limb and Brace Co Inc
Registry dates
- Enumerated
- 2006-10-26
- Last updated
- 2024-01-25
- Certified
- 2021-09-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.