OrganizationActive
Nextremity Prosthetic Design, LLC
NPI 1861948242 · Prosthetist · Mesa, AZ
Provider details
- NPI number
- 1861948242
- Entity type
- Organization
- Primary specialty
- ProsthetistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Alicia Hermosillo, Owner(801) 830-6161
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
4115 E Valley Auto Dr Ste 202
Mesa, AZ 85206-4612
Phone: (800) 311-5899
Fax: (866) 710-3106
Approximate (ZIP-level) locationGet directions
Mailing address
471 E 1000 S Ste F
Pleasant Grove, UT 84062-3694
Other names (DBA / former)
- Doing business as
- Goal Pediatric Orthotics
Registry dates
- Enumerated
- 2016-08-26
- Last updated
- 2024-06-11
- Certified
- 2024-06-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.