| NPI | 1073310314 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY GIES COO 425-339-2559 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2025-02-25 |
| Last Update Date | 2025-02-25 |