| NPI | 1083711386 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY M JENSEN Director 605-444-9711 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2021-10-08 |