Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Custom Prosthetics & Orthotics

Organization Prosthetic/Orthotic Supplier · NPI 1851339410

Custom Prosthetics & Orthotics is a Prosthetic/Orthotic Supplier in Blytheville, Arkansas. Licensed in Arkansas. Registered with an NPI since 2006.

Licensed in
AR
In the registry since
2006

Practice location Address checks out

515 N 6th St
Blytheville, AR 72315-2407
Phone: (870) 762-5151
Fax: (870) 762-5158
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Prosthetic/Orthotic Supplier (primary) Taxonomy 335E00000X · Licence PENDING (AR)

Record details

NPI number1851339410
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Brandon Harper — Owner · (870) 762-5151
NPI enumeratedJune 3, 2006
Last updated in NPPESAugust 22, 2020
Mailing address606 Lanes Way, P.O. Box 605, Manila, AR 72442-9136

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