Organization · Type 2 NPI
Modish Beaute LLC
Prosthetic/Orthotic Supplier · Locust Grove, GA
Practice location
532 Moline Way
Locust Grove, GA 30248-4471
Fax (321) 406-1325
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| 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.
About NPI 1154020865
Modish Beaute LLC's National Provider Identifier is 1154020865, issued on Mar 1, 2023. The primary taxonomy on file is Prosthetic/Orthotic Supplier (335E00000X), and the practice location is in Locust Grove, GA. The record was last updated on Mar 1, 2023.