| NPI | 1215960216 |
|---|---|
| Doing Business As | BEFITTING YOU MASTECTOMY BOUTIQUE UT |
| Entity Type | Organization |
| Authorized Contact | CHASTITY R THOMASON Medical Billing/Dme Supervisor 865-988-0000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TN 699) |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2012-10-01 |