| NPI | 1346202496 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WAYNE SETZER Owner 509-456-0200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 335E00000X Prosthetic/Orthotic Supplier | |
| Enumeration Date | 2006-04-04 |
| Last Update Date | 2015-05-15 |