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

Mr. Richard Shane Coltrain, CPO

Individual provider Prosthetist · NPI 1417994500

Mr. Richard Shane Coltrain, CPO is a Prosthetist in Greenville, North Carolina. Licensed in Virginia. Registered with an NPI since 2006.

Licensed in
VA
In the registry since
2006
Specialties on file
2

Practice location Address checks out

1025 Wh Smith Blvd Ste 108
Greenville, NC 27834-5052
Phone: (252) 215-2215
Fax: (252) 215-2216
Show map & directions

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

Specialties & licences

Prosthetist (primary) Taxonomy 224P00000X · Licence CPO 2469 (VA)
Orthotist Taxonomy 222Z00000X · Licence CPO 2469 (VA)

Record details

NPI number1417994500
Entity typeIndividual (Type 1)
GenderMale
Credentials CPO
Sole proprietorNo
NPI enumeratedMay 31, 2006
Last updated in NPPESApril 3, 2013

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