Matthew Shane Evans, CPO
Matthew Shane Evans, CPO is a Prosthetist in Modesto, California. Practices as a sole proprietor. Licensed in California.
- Licensed in
- CA
- In the registry since
- 2008
- Specialties on file
- 4
Practice location Address checks out
1705 Coffee Rd Ste 1Modesto, CA 95355-2809
Phone: (209) 544-2273
Fax: (209) 544-2274
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Prosthetist (primary) | Taxonomy 224P00000X · Licence CPO02042 (CA) |
|---|---|
| Orthotist | Taxonomy 222Z00000X · Licence CPO02042 (CA) |
| Pedorthist | Taxonomy 224L00000X · Licence CPO02042 (CA) |
| Prosthetic/Orthotic Supplier | Taxonomy 335E00000X · Licence CPO02042 (CA) |
Record details
| NPI number | 1245476597 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | CPO |
| Sole proprietor | Yes |
| NPI enumerated | December 16, 2008 |
| Last updated in NPPES | May 22, 2014 |
| Mailing address | 1705 Coffee Rd, Suite1, Modesto, CA 95355-2809 |
Other providers in Modesto
-
Trevor Grimbleby
500 Glass Ln Ste H, Modesto, CA 95356-9265 · (209) 404-0152
-
Roger Molina, CPO
609 E Orangeburg Ave Ste 102, Modesto, CA 95350-5512 · (209) 526-1721
-
Charles W Wade, CP
937 Coffee Rd, Modesto, CA 95355-4240 · (209) 529-7221