NPI 1033499744

Innovative Prosthetic Care Tupelo LLC

Organisation Prosthetic/Orthotic Supplier Tupelo, MS

Practice location

Address: 1714 N Gloster St, Tupelo, MS 38804-1216
Phone: (662) 844-2202
Fax: (601) 510-1610
Mailing address: 9034b Carl Legett Rd, Gulfport, MS 39503-6234

Authorised official

Name: Sheryl S Price
Title: Director of Reimbursement
Phone: (503) 493-8288

Registered specialties (2)

Prosthetic/Orthotic Supplier Primary

Suppliers Taxonomy 335E00000X

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Durable Medical Equipment & Medical Supplies

Suppliers Taxonomy 332B00000X

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Registry record

NPI: 1033499744
Entity type: Organization
NPI issued: 25 Aug 2011
Record last updated: 21 Feb 2013

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.