NPI 1407492671

Park City Pedorthics

Organisation Pedorthist Merrill, WI

Practice location

Address: 902 E 1st St, Merrill, WI 54452-2508
Phone: (715) 203-5730

Authorised official

Name: Tasha Gleason
Title: Owner
Phone: (715) 203-5730

Registered specialties (2)

Pedorthist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224L00000X

Other Pedorthist providers in Wisconsin →

Durable Medical Equipment & Medical Supplies

Suppliers Taxonomy 332B00000X

Other Durable Medical Equipment & Medical Supplies providers in Wisconsin →

Registry record

NPI: 1407492671
Entity type: Organization
NPI issued: 22 Nov 2019
Record last updated: 23 Jan 2020

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.