| NPI | 1952763138 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELSEY HUBER Owner 605-359-6461 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Additional Taxonomies | 222Z00000X Orthotist |
| 224L00000X | |
| 225000000X Orthotic Fitter | |
| Enumeration Date | 2016-03-25 |
| Last Update Date | 2016-05-26 |