| NPI | 1134393457 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHIRLEY A MUCK Owner 605-645-0071 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: SD CS-03854-2008) |
| Enumeration Date | 2008-04-17 |
| Last Update Date | 2008-06-23 |