NPI 1265157994

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Organisation Mastectomy Fitter Pleasant View, UT

Practice location

Address: 1229 W 4000 N, Pleasant View, UT 84414-1343
Phone: (801) 698-8850

Authorised official

Name: Brittany Carroll
Title: Owner
Phone: (801) 698-8850

Registered specialties (4)

Mastectomy Fitter Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224900000X

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Prosthetist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224P00000X

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Durable Medical Equipment & Medical Supplies

Suppliers Taxonomy 332B00000X

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Prosthetic/Orthotic Supplier

Suppliers Taxonomy 335E00000X

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Registry record

NPI: 1265157994
Entity type: Organization
NPI issued: 5 Oct 2022
Record last updated: 5 Oct 2022

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.