Organization · Type 2 NPI
Wild Eden Wig Boutique, LLC
Prosthetic/Orthotic Supplier · Loveland, OH
Practice location
5100 Wedgeway Dr
Loveland, OH 45140-6568
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.
About NPI 1730056573
Wild Eden Wig Boutique, LLC's National Provider Identifier is 1730056573, issued on Oct 17, 2025. The primary taxonomy on file is Prosthetic/Orthotic Supplier (335E00000X), and the practice location is in Loveland, OH. The record was last updated on Oct 17, 2025.