Kootenai Prosthetic Orthotic Services INC

NPI #1023379377 in Post Falls, Idaho

Provider Information

NPI Number
1023379377
Entity Type
Organization
Organization Name
Kootenai Prosthetic Orthotic Services INC
Primary Specialty
Prosthetic/Orthotic Supplier
Enumeration Date
Jun 4, 2012
Last Updated
Jul 10, 2025

Practice Location

Address
1160 E POLSTON AVE
State
Idaho
ZIP Code
83854-6045
Phone
(208) 457-1545

Authorized Official

Name
STEPHEN ANTHONY BLAS, CPO
Title
CPO/ VICE PRESIDENT
Phone
(208) 457-1545

Specialties & Taxonomy Codes

Specialty
Prosthetic/Orthotic Supplier

Additional Practice Locations

2009 S Main St

Moscow, ID, 83843-8913

(208) 457-1545

30544 Highway 200

Ponderay, ID, 83852-5005

(208) 457-1545

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