NPI 1730731589

Revelation INC.

Organisation Mastectomy Fitter Decorah, IA

Practice location

Address: 111 E Water St, Decorah, IA 52101-1801
Phone: (563) 382-6212
Fax: (563) 382-6420

Authorised official

Name: Renee Carlson
Title: Owner
Phone: (563) 382-6212

Registered specialties

Mastectomy Fitter Primary

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

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Registry record

NPI: 1730731589
Entity type: Organization
NPI issued: 11 Jul 2019
Record last updated: 18 Nov 2021

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.