NPI 1003409442

Lisa Ferestad Salon, LLC

Organisation Prosthetic/Orthotic Supplier Marietta, GA

Practice location

Address: 531 Roselane St NW STE 630, Marietta, GA 30060-6973
Phone: (678) 643-2373
Mailing address: 750 Daniell Dr SE, Smyrna, GA 30080-1104

Authorised official

Name: Lisa M Ferestad
Title: Owner
Phone: (678) 643-2373

Registered specialties

Prosthetic/Orthotic Supplier Primary

Suppliers Taxonomy 335E00000X

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Registry record

NPI: 1003409442
Entity type: Organization
NPI issued: 17 Feb 2021
Record last updated: 20 Aug 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.