| NPI | 1376726158 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS W. REIS Owner 515-254-0244 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: IA CP-1182) |
| Enumeration Date | 2007-12-14 |
| Last Update Date | 2007-12-14 |