Organization · Type 2 NPI

Lush Hair Affair

Prosthetic/Orthotic Supplier · Columbia, SC

NPI number 1295307387 Active

Practice location

136-4 Forum Drive, #1055
Columbia, SC 29229

Fax (803) 710-7307

Specialties and licenses

Taxonomy	Code	License
Prosthetic/Orthotic Supplier Primary	335E00000X	None 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.

3 other providers at this address

Other prosthetic/orthotic supplier providers in Columbia

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NPI record

NPI: 1295307387
Entity type: Organization (Type 2)
Issued: Jul 16, 2021
Last updated: Aug 8, 2021
Status: Active

Other names

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Lush Hair Affair RX · doing business as
Lush Hair Affair RX · doing business as

Authorized official

Kiante L Thompson
Owner/cranial Prosthesis Specialist
(803) 729-6940

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1295307387

Lush Hair Affair's National Provider Identifier is 1295307387, issued on Jul 16, 2021. The primary taxonomy on file is Prosthetic/Orthotic Supplier (335E00000X), and the practice location is in Columbia, SC. The record was last updated on Aug 8, 2021.