IndividualActive
Jason Leal, CPO
NPI 1396066460 · Prosthetist · Bullhead City, AZ
Provider details
- NPI number
- 1396066460
- Entity type
- Individual
- Primary specialty
- ProsthetistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- CPO
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Orthotist222Z00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
1730 Highway 95 Ste 10
Bullhead City, AZ 86442-6909
Phone: (928) 299-3130
Fax: (928) 299-3131
Approximate (ZIP-level) locationGet directions
Mailing address
1730 Highway 95 Ste 10
Bullhead City, AZ 86442-6909
Registry dates
- Enumerated
- 2010-06-11
- Last updated
- 2025-02-21
- Certified
- 2025-02-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.