| NPI | 1114035797 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANICE KUEKER Partner 660-831-5304 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: MO 17278171) |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2008-12-31 |