NPI 1033162524

Active Brace and Limb LLC

Organisation Prosthetic/Orthotic Supplier Traverse City, MI

Practice location

Address: 5123 N Royal Dr, Traverse City, MI 49684-9201
Phone: (231) 932-8702

Authorised official

Name: Jerry Allen Pierce
Title: Co-Owner
Phone: (231) 932-8702

Registered specialties (3)

Prosthetic/Orthotic Supplier Primary

Suppliers Taxonomy 335E00000X

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Durable Medical Equipment & Medical Supplies

Suppliers Taxonomy 332B00000X

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Customized Equipment (DME)

Suppliers Taxonomy 332BC3200X

Registry record

NPI: 1033162524
Entity type: Organization
NPI issued: 18 May 2006
Record last updated: 7 Jun 2016

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.