NPI 1073523981

Heavenly Fit LLC

Organisation Prosthetic/Orthotic Supplier Campbellsport, WI

Practice location

Address: 545 Skyhawk Ave, Campbellsport, WI 53010-3055
Phone: (920) 533-3050
Fax: (920) 533-3052

Authorised official

Name: Jeffrey Scott Mc Callum
Title: Owner
Phone: (920) 533-3050

Registered specialties

Prosthetic/Orthotic Supplier Primary

Suppliers Taxonomy 335E00000X

Other Prosthetic/Orthotic Supplier providers in Wisconsin →

Registry record

NPI: 1073523981
Entity type: Organization
NPI issued: 9 Aug 2006
Record last updated: 31 Mar 2008

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.