Organization · Type 2 NPI
Missouri Custom Orthotics LLC
Customized Equipment (DME) · St. Louis, MO
NPI number
1871832600
Active
Practice location
12882 Manchester Rd, Ste. 204
St. Louis, MO 63131-1858
Fax (888) 770-2935
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Customized Equipment (DME) Primary | 332BC3200X | None listed |
Customized Equipment (DME): Definition to come...
3 other providers at this address
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About NPI 1871832600
Missouri Custom Orthotics LLC's National Provider Identifier is 1871832600, issued on Feb 14, 2013. The primary taxonomy on file is Customized Equipment (DME) (332BC3200X), and the practice location is in St. Louis, MO. The record was last updated on Jul 10, 2013.