NPI 1407322357

Michael Stephen Relle, CPO

Practitioner Prosthetist Covington, LA

Practice location

Address: 101 Highland Park Plz, Covington, LA 70433-7128
Phone: (985) 898-6319
Fax: (985) 867-8803

Registered specialties (2)

Prosthetist Primary

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

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Orthotist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 222Z00000X

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Registry record

NPI: 1407322357
Entity type: Individual
Sex (as registered): Male
NPI issued: 18 Oct 2018
Record last updated: 18 Oct 2018

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.