Individual provider · Type 1 NPI

Shaletha Deloatch

Prosthetic/Orthotic Supplier · Homestead, FL

NPI number 1255058970 Active

Practice location

30341 SW 157th Ave
Homestead, FL 33033-3518

Mailing address

815 N Homestead Blvd # 205
Homestead, FL 33030-5024

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.

About NPI 1255058970

Shaletha Deloatch's National Provider Identifier is 1255058970, issued on Oct 24, 2022. The primary taxonomy on file is Prosthetic/Orthotic Supplier (335E00000X), and the practice location is in Homestead, FL. The record was last updated on Oct 28, 2022.