| NPI | 1356657050 |
|---|---|
| Doing Business As | BALD SPOT SPORTS |
| Entity Type | Organization |
| Authorized Contact | TRAVIS COBB Partner 317-705-2880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2010-08-19 |
| Last Update Date | 2015-09-21 |