Individual provider · Type 1 NPI
Ija Long
Prosthetic/Orthotic Supplier · Harvest, AL
Practice location
215 Shortleaf Ln
Harvest, AL 35749-4844
Mailing address
1580 Sparkman Dr NW Ste 112
Huntsville, AL 35816-2680
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 1952240079
Ija Long's National Provider Identifier is 1952240079, issued on Mar 25, 2026. The primary taxonomy on file is Prosthetic/Orthotic Supplier (335E00000X), and the practice location is in Harvest, AL. The record was last updated on Mar 25, 2026.