NPI 1154560647

Z-Coil Pain Relief Footwear

Organisation Prosthetic/Orthotic Supplier Springfield, MO

Practice location

Address: 2674 S Glenstone Ave, Springfield, MO 65804-3718
Phone: (417) 890-2433
Fax: (417) 890-2434

Authorised official

Name: Altina Shelley
Title: Owner
Phone: (417) 890-2433

Registered specialties

Prosthetic/Orthotic Supplier Primary

Suppliers Taxonomy 335E00000X Licence BUS2005-01443 (MO)

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Registry record

NPI: 1154560647
Entity type: Organization
NPI issued: 6 Feb 2009
Record last updated: 6 Feb 2009

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.