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Innovative Prosthetic Care Tupelo Llc
Prosthetic/Orthotic Supplier in Tupelo, Mississippi
NPI 1033499744

Innovative Prosthetic Care Tupelo Llc is a Prosthetic/Orthotic Supplier based in Gulfport, MS. Innovative Prosthetic Care Tupelo Llc practices in Tupelo, MS. The NPI Number for Innovative Prosthetic Care Tupelo Llc is 1033499744 and holds a License No. (Mississippi).

The current practice location address for Innovative Prosthetic Care Tupelo Llc is 1714 N Gloster St, Tupelo, MS and can be reached out via phone at 662-844-2202 and via fax at 601-510-1610. You can also correspond with Innovative Prosthetic Care Tupelo Llc through the mailing address at 9034B CARL LEGETT RD, GULFPORT, MS - 39503-6234 (mailing address contact number: 228-604-0818).

Location: 1714 N Gloster St, Tupelo, MS, 39503-6234
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1033499744
Provider Name
Innovative Prosthetic Care Tupelo Llc
Credential
Provider Entity Type
Organization
Address
1714 N Gloster St, Tupelo, MS, 39503-6234
Phone Number
662-844-2202
Fax Number
601-510-1610
Provider Enumeration Date
08/25/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1714 N Gloster St
City
Tupelo
State
Mississippi
Zip
38804-1216
Phone Number
662-844-2202
Fax Number
601-510-1610
person
Provider Business Mailing Address Details
Address
9034B Carl Legett Rd
City
Gulfport
State
Mississippi
Zip
39503-6234
Phone Number
228-604-0818
Fax Number
228-604-0815
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
()
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
()
Definition
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
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