Organization · Type 2 NPI
Carresha Goodlow
Prosthetic/Orthotic Supplier · Norway, MI
Practice location
820 Main St
Norway, MI 49870-1250
Mailing address
PO Box 6561
Milwaukee, WI 53206-0561
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Prosthetic/Orthotic Supplier Primary | 335E00000X | 2701437960 (MI) |
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 1154864213
Carresha Goodlow's National Provider Identifier is 1154864213, issued on Nov 22, 2016. The primary taxonomy on file is Prosthetic/Orthotic Supplier (335E00000X), and the practice location is in Norway, MI. The record was last updated on Nov 22, 2016.