| NPI | 1942238514 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL BUCKHOLDT President 800-845-6364 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| 335E00000X Prosthetic/Orthotic Supplier | |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2017-07-28 |