Organization · Type 2 NPI

Radiance Renewed

Prosthetic/Orthotic Supplier · Highland, IN

NPI number 1154941557 Active

Practice location

9445 Indianapolis Blvd Ste 1042
Highland, IN 46322-2648

Fax (985) 251-2701

Specialties and licenses

TaxonomyCodeLicense
Prosthetic/Orthotic Supplier Primary 335E00000XNone 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.

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About NPI 1154941557

Radiance Renewed's National Provider Identifier is 1154941557, issued on Apr 26, 2020. The primary taxonomy on file is Prosthetic/Orthotic Supplier (335E00000X), and the practice location is in Highland, IN. The record was last updated on Apr 26, 2020.