Provider Demographics
NPI:1437813375
Name:ORTHOTECHNIX, LLC
Entity Type:Organization
Organization Name:ORTHOTECHNIX, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ORTHOTIC FITTER
Authorized Official - Prefix:MR
Authorized Official - First Name:HARRY
Authorized Official - Middle Name:GRIFFIN
Authorized Official - Last Name:TROTT
Authorized Official - Suffix:IV
Authorized Official - Credentials:COF
Authorized Official - Phone:863-473-1673
Mailing Address - Street 1:603 COLONIAL VIEW RD
Mailing Address - Street 2:
Mailing Address - City:MECHANICSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17055-5849
Mailing Address - Country:US
Mailing Address - Phone:863-473-1673
Mailing Address - Fax:863-204-0341
Practice Address - Street 1:603 COLONIAL VIEW RD
Practice Address - Street 2:
Practice Address - City:MECHANICSBURG
Practice Address - State:PA
Practice Address - Zip Code:17055-5849
Practice Address - Country:US
Practice Address - Phone:863-473-1673
Practice Address - Fax:863-204-0341
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-27
Last Update Date:2021-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies