| NPI | 1699714592 |
|---|---|
| Doing Business As | HEAVENLY SOLES FOOT COMFORT CENTER |
| Entity Type | Organization |
| Authorized Contact | SUSAN ELAINE MITCHELL Owner/Certified Pedorthist 573-348-6767 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2020-08-22 |