| NPI | 1902050479 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRIS L LEIBLE Owner 816-994-0099 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2008-11-11 |
| Last Update Date | 2019-11-08 |