Organization · Type 2 NPI

Minkd Out Extensions

Prosthetic/Orthotic Supplier · Atlanta, GA

NPI number 1194478404 Active

Practice location

6595 Roswell Rd Ste G-5971
Atlanta, GA 30328-3152

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 1194478404

Minkd Out Extensions's National Provider Identifier is 1194478404, issued on Jan 27, 2022. The primary taxonomy on file is Prosthetic/Orthotic Supplier (335E00000X), and the practice location is in Atlanta, GA. The record was last updated on Oct 23, 2022.