NPI 1871754341

The Wig Shoppe

Organisation Anaplastologist Louisville, KY

Practice location

Address: 9960 Linn Station Rd, Louisville, KY 40223
Phone: (502) 412-8810
Fax: (502) 394-0783

Authorised official

Name: Candyce S Slade
Title: Owner
Phone: (502) 412-8810

Registered specialties

Anaplastologist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 229N00000X Licence 246536 (KY)

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Registry record

NPI: 1871754341
Entity type: Organization
NPI issued: 18 Jun 2008
Record last updated: 18 Jun 2008

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.