Individual provider · Type 1 NPI
Tina Marie Byrd, C.PED, CMF.
Mastectomy Fitter · Jasper, IN
NPI number
1629548805
Active
Practice location
397 S US Highway 231
Jasper, IN 47546-3299
Fax (812) 482-6923
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mastectomy Fitter Primary | 224900000X | C52837 (IN) |
Mastectomy Fitter: An individual trained in the fitting and adjusting of breast prostheses and management of post-mastectomy prostheses services.
Another provider at this address
About NPI 1629548805
Tina Marie Byrd, C.PED, CMF.'s National Provider Identifier is 1629548805, issued on Nov 29, 2018. The primary taxonomy on file is Mastectomy Fitter (224900000X), and the practice location is in Jasper, IN. The record was last updated on Nov 29, 2018.