OrganizationActive
Quad City Prosthetic Inc
NPI 1932920071 · Prosthetic/Orthotic Supplier · Des Moines, IA
Provider details
- NPI number
- 1932920071
- Entity type
- Organization
- Primary specialty
- Prosthetic/Orthotic SupplierSuppliers
- Organization subpart
- No
- Authorized official
- Kendra Mickelson, Manager of Revenue Cycle Management(309) 285-7752
Specialties & taxonomies
Suppliers
Practice location
2105 Ingersoll Ave Ste 101
Des Moines, IA 50312-5201
Phone: (515) 671-2326
Fax: (515) 381-2394
Approximate (ZIP-level) locationGet directions
Mailing address
741 W Main St
Peoria, IL 61606-1953
Other names (DBA / former)
- Doing business as
- Quad City Prosthetic Inc
Registry dates
- Enumerated
- 2024-10-22
- Last updated
- 2024-10-22
- Certified
- 2024-10-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.