Organization · Type 2 NPI
Kustom Made LLC
Prosthetic/Orthotic Supplier · Oak Park, MI
NPI number
1124776828
Active
Practice location
21841 Kenosha St
Oak Park, MI 48237-2651
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Prosthetist | 224P00000X | None listed |
| Prosthetic/Orthotic Supplier Primary | 335E00000X | None 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.
5 other providers at this address
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- Patrice CoatesProsthetic/Orthotic Supplier Oak Park, MI NPI 1962840124
Other prosthetic/orthotic supplier providers in Oak Park
About NPI 1124776828
Kustom Made LLC's National Provider Identifier is 1124776828, issued on Mar 13, 2022. The primary taxonomy on file is Prosthetic/Orthotic Supplier (335E00000X), and the practice location is in Oak Park, MI. The record was last updated on Sep 2, 2026.