NPI 1629548805

Tina Marie Byrd, CPEDCMF

Practitioner Mastectomy Fitter Jasper, IN

Practice location

Address: 397 S US Highway 231, Jasper, IN 47546-3299
Phone: (812) 482-6922
Fax: (812) 482-6923

Registered specialties

Mastectomy Fitter Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224900000X Licence C52837 (IN)

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Registry record

NPI: 1629548805
Entity type: Individual
Sex (as registered): Female
NPI issued: 29 Nov 2018
Record last updated: 29 Nov 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.