Individual provider · Type 1 NPI

Alicia Ellen Newsom

Prosthetic/Orthotic Supplier · Adrian, MI

NPI number 1821490590 Active

Practice location

136 E Maumee St Ste 14
Adrian, MI 49221-2724

Specialties and licenses

TaxonomyCodeLicense
Prosthetic/Orthotic Supplier Primary 335E00000X2701130793 (MI)
Prosthetics Case Management 1744P3200X2701130793 (MI)

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 1821490590

Alicia Ellen Newsom's National Provider Identifier is 1821490590, issued on Sep 24, 2014. The primary taxonomy on file is Prosthetic/Orthotic Supplier (335E00000X), and the practice location is in Adrian, MI. The record was last updated on Sep 18, 2026.