| NPI | 1982867032 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER PETERS Reg Compliance Analyst Ii 859-594-2713 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2008-07-09 |
| Last Update Date | 2025-09-19 |