IndividualActive
Matthew Harris, CPO
NPI 1407444334 · Orthotic Fitter · Laramie, WY
Provider details
- NPI number
- 1407444334
- Entity type
- Individual
- Primary specialty
- Orthotic FitterRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- CPO
- Sex
- Male
- Sole proprietor
- Yes
- License
- CPO03586 (WY)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
1909 Vista Dr Bldg B
Laramie, WY 82070-5530
Phone: (307) 721-8024
Approximate (ZIP-level) locationGet directions
Mailing address
1909 Vista Dr Bldg B
Laramie, WY 82070-5530
Registry dates
- Enumerated
- 2021-01-06
- Last updated
- 2021-01-06
- Certified
- 2021-01-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.