| NPI | 1982790705 |
|---|---|
| Doing Business As | IDEAL FEET |
| Entity Type | Organization |
| Authorized Contact | JOHAN BACKLUND Owner 951-304-7799 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2009-04-22 |