IndividualActive
Jason Mitcham, C.PED
NPI 1336839679 · Pedorthist · Colorado Springs, CO
Provider details
- NPI number
- 1336839679
- Entity type
- Individual
- Primary specialty
- PedorthistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- C.PED
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
Colorado Springs Orthopaedic Group Dba Audubon Orthotic
4110 Briargate Parkway Suite 300
Colorado Springs, CO 80920-7837
Phone: (719) 632-7669
Fax: (719) 632-0088
Approximate (ZIP-level) locationGet directions
Mailing address
4110 Briargate Parkway
Colorado Springs, CO 80920-7837
Registry dates
- Enumerated
- 2023-05-10
- Last updated
- 2023-05-10
- Certified
- 2023-05-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.