Individual provider · Type 1 NPI
Kreymohney Desiree Wade, SPECIALIST
Prosthetic/Orthotic Supplier · Ann Arbor, MI
Practice location
122 S Main St Ste 110
Ann Arbor, MI 48104-1925
Fax (734) 407-8783
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.
Another provider at this address
About NPI 1659065019
Kreymohney Desiree Wade, SPECIALIST's National Provider Identifier is 1659065019, issued on Jun 7, 2023. The primary taxonomy on file is Prosthetic/Orthotic Supplier (335E00000X), and the practice location is in Ann Arbor, MI. The record was last updated on Sep 12, 2026.