| NPI | 1962760405 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARI WAGNER Owner, Certified Pedorthist 913-369-8734 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2012-05-02 |
| Last Update Date | 2024-02-07 |