| NPI | 1437730629 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA WILKINSON Owner 816-797-3764 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Additional Taxonomies | 224P00000X Prosthetist |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2021-04-19 |
| Last Update Date | 2021-04-19 |