OrganizationActive
Innovative Prosthetics & Orthotics of Grand Island, LLC
NPI 1548545585 · Prosthetic/Orthotic Supplier · Grand Island, NE
Provider details
- NPI number
- 1548545585
- Entity type
- Organization
- Primary specialty
- Prosthetic/Orthotic SupplierSuppliers
- Organization subpart
- No
- Authorized official
- Rakesh Srivastava, Owner(402) 461-4931
Specialties & taxonomies
Suppliers
Practice location
1213 Allen Dr
Grand Island, NE 68803-3333
Phone: (308) 675-1508
Fax: (308) 675-1509
Approximate (ZIP-level) locationGet directions
Mailing address
1213 Allen Dr
Grand Island, NE 68803-3333
Registry dates
- Enumerated
- 2011-10-20
- Last updated
- 2014-10-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.