| NPI | 1043409766 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIA HILES Certified Pedorthist 913-696-1646 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MO 013370) |
| Enumeration Date | 2007-10-18 |
| Last Update Date | 2007-10-18 |