| NPI | 1760929756 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL W LOWRY Sole Member 913-403-6535 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: KS 335E00000x) |
| Enumeration Date | 2017-01-27 |
| Last Update Date | 2017-01-27 |