Organization · Type 2 NPI
Birch Boutique LLC
Mastectomy Fitter · Antigo, WI
NPI number
1154045888
Active
Practice location
612 Clemont St, Ste #8
Antigo, WI 54409-1988
Fax (715) 716-4330
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mastectomy Fitter Primary | 224900000X | None listed |
| Durable Medical Equipment & Medical Supplies | 332B00000X | None listed |
Mastectomy Fitter: An individual trained in the fitting and adjusting of breast prostheses and management of post-mastectomy prostheses services.
About NPI 1154045888
Birch Boutique LLC's National Provider Identifier is 1154045888, issued on Sep 27, 2022. The primary taxonomy on file is Mastectomy Fitter (224900000X), and the practice location is in Antigo, WI. The record was last updated on Feb 29, 2024.