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Custom Dme
Anaplastologist in Bountiful, Utah
NPI 1255570099

Custom Dme is an Anaplastologist based in Bountiful, UT. Custom Dme practices in Bountiful, UT. The NPI Number for Custom Dme is 1255570099 and holds a License No. (Utah).

The current practice location address for Custom Dme is 1455 S 500 W Ste D, Bountiful, UT and can be reached out via phone at 801-997-0545 and via fax at 888-977-5399.

Location: 1455 S 500 W Ste D, Bountiful, UT, 84010-6605
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1255570099
Provider Name
Custom Dme
Credential
Provider Entity Type
Organization
Address
1455 S 500 W Ste D, Bountiful, UT, 84010-6605
Phone Number
801-997-0545
Fax Number
888-977-5399
Provider Enumeration Date
02/18/2009
Last Update Date
11/16/2024
institution
Provider Business Practice Location Address Details
Address
1455 S 500 W Ste D
City
Bountiful
State
Utah
Zip
84010-8252
Phone Number
801-997-0545
Fax Number
888-977-5399
person
Provider Business Mailing Address Details
Address
1455 S 500 W Ste D
City
Bountiful
State
Utah
Zip
84010-8252
Phone Number
801-997-0545
Fax Number
888-977-5399
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Ocularist
Taxonomy
156FX1700X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Anaplastologist
Speciality
-
Taxonomy
229N00000X
License No.
()
Definition
An anaplastologist is a professional who creates prostheses for the face and body. Patients treated include those missing anatomy due to cancer, traumatic injury, or birth differences. Generally, there are no state licensing requirements for anaplastologists. Certification specific to anaplastology is provided through the Board for Certified Clinical Anaplastology (BCCA) with a credential title of Certified Clinical Anaplastologist (CCA).
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Anaplastologist
1455 S 500 W Ste D,
BOUNTIFUL, UT
84010-8252
801-997-0545
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