| NPI | 1699553578 |
|---|---|
| Doing Business As | LEGACY AUDIOLOGY |
| Entity Type | Organization |
| Authorized Contact | LIBBY MEHLE Co Ower/ Audiologist 307-371-0789 |
| Organization Subpart ? | No |
| Primary Taxonomy | 231H00000X Audiologist |
| Enumeration Date | 2023-09-20 |
| Last Update Date | 2023-10-25 |