IndividualActive
John Fenton, CPO
NPI 1376811489 · Prosthetic/Orthotic Supplier · Republic, MO
Provider details
- NPI number
- 1376811489
- Entity type
- Individual
- Primary specialty
- Prosthetic/Orthotic SupplierSuppliers
- Credential
- CPO
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Suppliers
Practice location
838 Rachel St
Republic, MO 65738-1721
Phone: (417) 732-8483
Fax: (417) 732-8902
Approximate (ZIP-level) locationGet directions
Mailing address
838 Rachel St
Republic, MO 65738-1721
Registry dates
- Enumerated
- 2011-12-02
- Last updated
- 2011-12-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.