Organization · Type 2 NPI

Michelles Beauty Bar

Prosthetic/Orthotic Supplier · Valdosta, GA

NPI number 1023630928 Active

Practice location

3662 Druid Oaks Dr
Valdosta, GA 31605-6542

Call (229) 375-2547 Map

Fax (229) 375-2547

Mailing address

1412 E Park Ave Ste D
Valdosta, GA 31602-3224

Specialties and licenses

TaxonomyCodeLicense
Prosthetic/Orthotic Supplier Primary 335E00000XNone listed

Prosthetic/Orthotic Supplier: An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.

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About NPI 1023630928

Michelles Beauty Bar's National Provider Identifier is 1023630928, issued on May 13, 2020. The primary taxonomy on file is Prosthetic/Orthotic Supplier (335E00000X), and the practice location is in Valdosta, GA. The record was last updated on May 13, 2020.