| NPI | 1396155826 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN PATRICK SMITH Owner 662-842-3220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Additional Taxonomies | 225000000X Orthotic Fitter |
| Enumeration Date | 2014-05-06 |
| Last Update Date | 2023-05-01 |