| NPI | 1639635162 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRITTANY R SIEFERT Owner 307-756-2013 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2019-02-20 |
| Last Update Date | 2019-02-20 |