CREATIVE PEDORTHICS LLC NPI 1972864353

NPI Information

NPI: 1972864353
Provider Name: CREATIVE PEDORTHICS, LLC

Doing Business As: ARCHES

Classification: Pedorthist - 224L00000X
Entity Type: Organization
Address:
1616 AZALEA DR
SUITE 105
TEMPLE, TX
ZIP 76502
Phone: (254) 773-2693
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CREATIVE PEDORTHICS, LLC is a pedorthist in Temple, TX. The provider is an individual who is trained in the management and treatment of conditions of the foot, ankle, and lower extremities requiring fitting, fabricating, and adjusting of pedorthic devices. CREATIVE PEDORTHICS, LLC NPI is 1972864353. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Arches.

The provider's business location address is:

1616 AZALEA DR
SUITE 105
TEMPLE, TX
ZIP 76502-774
Phone: (254) 773-2693

The provider's authorized official is Karlheinz Reichl .
The authorized official title is Owner/manager and has the following contact phone number (254) 773-2693.

The enumeration date for this NPI number is 6/2/2012 and was last updated on 1/7/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	224L00000X	Pedorthist				Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	6716820001	OTHER	TEXAS	MEDICARE PTAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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