Organization · Type 2 NPI
Atalaya Fits Boutique LLC
Mastectomy Fitter · Georgetown, SC
NPI number
1629920004
Active
Practice location
1530 Highmarket St
Georgetown, SC 29440-3121
Fax (843) 833-8014
Mailing address
1768 Calhoun Dr
Georgetown, SC 29440-6522
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mastectomy Fitter Primary | 224900000X | None listed |
| Durable Medical Equipment & Medical Supplies | 332B00000X | None listed |
Mastectomy Fitter: An individual trained in the fitting and adjusting of breast prostheses and management of post-mastectomy prostheses services.
3 other providers at this address
About NPI 1629920004
Atalaya Fits Boutique LLC's National Provider Identifier is 1629920004, issued on Feb 10, 2026. The primary taxonomy on file is Mastectomy Fitter (224900000X), and the practice location is in Georgetown, SC. The record was last updated on May 22, 2026.