| NPI | 1578937876 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC LEE MILLER Manager 859-268-5708 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: KY LPO-101) |
| Enumeration Date | 2015-11-24 |
| Last Update Date | 2025-04-23 |