Individual provider · Type 1 NPI

Renee Beth Carlson

Mastectomy Fitter · Decorah, IA

NPI number 1659923654 Active

Practice location

111 E Water St
Decorah, IA 52101-1801

Fax (563) 382-6420

Specialties and licenses

TaxonomyCodeLicense
Mastectomy Fitter 224900000XNone listed
Mastectomy Fitter Primary 224900000XNone listed

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 1659923654

Renee Beth Carlson's National Provider Identifier is 1659923654, issued on Jul 10, 2019. The primary taxonomy on file is Mastectomy Fitter (224900000X), and the practice location is in Decorah, IA. The record was last updated on Jul 10, 2019.