| NPI | 1831578368 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARI WAGNER CEO 913-369-8734 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2015-05-29 |
| Last Update Date | 2022-08-05 |