NPI 1346619921

Beautiful U

Organisation Prosthetic/Orthotic Supplier Gulfport, MS

Practice location

Address: 1103 Broad Ave STE B, Gulfport, MS 39501-2415
Phone: (228) 731-3134
Fax: (228) 731-3134
Mailing address: PO Box 3514, Gulfport, MS 39505-3514

Authorised official

Name: Gloria Threats
Title: President
Phone: (228) 731-3134

Registered specialties

Prosthetic/Orthotic Supplier Primary

Suppliers Taxonomy 335E00000X

Other Prosthetic/Orthotic Supplier providers in Mississippi →

Registry record

NPI: 1346619921
Entity type: Organization
NPI issued: 24 Sep 2015
Record last updated: 24 Sep 2015

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.