Organization · Type 2 NPI

The Wig Lady

Prosthetic/Orthotic Supplier · Wichita, KS

NPI number 1104963453 Active

Practice location

4017 W 13th
Wichita, KS 67212

Call (316) 943-9447 Map

Fax (316) 943-9447

Mailing address

4017 W 13th Street
Wichita, KS 67212

Specialties and licenses

Taxonomy	Code	License
Prosthetic/Orthotic Supplier Primary	335E00000X	6601 (KS)

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 1104963453

The Wig Lady's National Provider Identifier is 1104963453, issued on Jan 30, 2007. The primary taxonomy on file is Prosthetic/Orthotic Supplier (335E00000X), and the practice location is in Wichita, KS. The record was last updated on Aug 22, 2020.