| NPI | 1154560647 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALTINA SHELLEY Owner 417-890-2433 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: MO BuS2005-01443) |
| Enumeration Date | 2009-02-06 |
| Last Update Date | 2009-02-06 |