OrganizationActive
Pediatric Orthotic and Prosthetic Services - Midwest, LLC
NPI 1154721785 · Prosthetic/Orthotic Supplier · Woodbury, MN
Provider details
- NPI number
- 1154721785
- Entity type
- Organization
- Primary specialty
- Prosthetic/Orthotic SupplierSuppliers
- Parent organization
- Pediatric Orthotic and Prosthetic Services - Midwest, LLC
- Authorized official
- Jeffrey Bruce, Manager
Practice location
215 Radio Dr Ste 100
Woodbury, MN 55125-5817
Phone: (612) 593-6205
Fax: (612) 335-5396
Mailing address
Po Box 947109
Atlanta, GA 30394-7109
Registry dates
- Enumerated
- 2014-09-02
- Last updated
- 2025-04-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.