Provider Demographics
NPI:1154570612
Name:MURRAY'S ORTHOTICS AND PROSTHETICS
Entity type:Organization
Organization Name:MURRAY'S ORTHOTICS AND PROSTHETICS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/ORTHOTIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:ASHLI
Authorized Official - Middle Name:
Authorized Official - Last Name:MURRAY-SPEICHER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:720-981-4116
Mailing Address - Street 1:5066 S WADSWORTH WAY
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80123-1254
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:5066 S WADSWORTH WAY
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80123-1254
Practice Address - Country:US
Practice Address - Phone:720-981-4116
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-09
Last Update Date:2008-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO42-59120-0000335E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier