| Organization Name: | WINN'S ORTHOTICS & PROSTHETICS |
| NPI Number: | 1225208481 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SHANNON COLE WINN (OWNER) |
| Mailing Address: | 1075 S Idaho Rd Suite 101 Apache Junction |
| State: | AZ US |
| Postal Code: | 852196496 |
| Phone Number: | 4809823000 |
| Fax Number: | 4809823103 |
| NPI Enumeration Date: | 03/04/2008 |
| NPI Last Update Date: | 03/06/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332BC3200X |
| License Number: | CPO02652 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | AZ |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | Customized Equipment |
| Taxonomy Definition: | |