Organization · Type 2 NPI

Extension Couture LLC

Customized Equipment (DME) · Southfield, MI

NPI number 1992371892 Active

Practice location

17600 W 8 Mile Rd
Southfield, MI 48075-4305

Mailing address

PO Box 39706
Redford, MI 48239-0706

Specialties and licenses

TaxonomyCodeLicense
Customized Equipment (DME) Primary 332BC3200XNone listed
Prosthetic/Orthotic Supplier 335E00000XNone listed

Customized Equipment (DME): Definition to come...

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About NPI 1992371892

Extension Couture LLC's National Provider Identifier is 1992371892, issued on Jun 1, 2021. The primary taxonomy on file is Customized Equipment (DME) (332BC3200X), and the practice location is in Southfield, MI. The record was last updated on Jun 1, 2021.