Organization · Type 2 NPI

Premier Mastectomy Vendor LLC

Mastectomy Fitter · Montgomery, AL

NPI number 1699458380 Active

Practice location

5911 Monticello Dr Ste B
Montgomery, AL 36117-1940

Specialties and licenses

TaxonomyCodeLicense
Mastectomy Fitter Primary 224900000XNone listed
Massage Therapist 225700000XNone listed

Mastectomy Fitter: An individual trained in the fitting and adjusting of breast prostheses and management of post-mastectomy prostheses services.

2 other providers at this address

About NPI 1699458380

Premier Mastectomy Vendor LLC's National Provider Identifier is 1699458380, issued on Aug 9, 2023. The primary taxonomy on file is Mastectomy Fitter (224900000X), and the practice location is in Montgomery, AL. The record was last updated on Dec 20, 2023.