| NPI | 1467545491 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENEE A TEWES Owner/President 402-436-2535 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2020-08-22 |