| NPI | 1235510934 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TALISA BLACKMAN Owner/Stylist 615-217-6026 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: TN 71360) |
| Enumeration Date | 2015-06-18 |
| Last Update Date | 2015-06-18 |