| NPI | 1669156634 |
|---|---|
| Doing Business As | LEGACY PROSTHETICS |
| Other Name | FAYETTE SURGICAL ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | CHERYL REICHEL Billing Manager 859-407-7737 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2023-06-12 |
| Last Update Date | 2023-06-12 |