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Mulberry Wellness Salon Llc
Prosthetic/Orthotic Supplier in Montgomery, Alabama
NPI 1669732301

Mulberry Wellness Salon Llc is a Prosthetic/Orthotic Supplier based in Montgomery, AL. Mulberry Wellness Salon Llc practices in Montgomery, AL. The NPI Number for Mulberry Wellness Salon Llc is 1669732301 and holds a License No. 161733 (Alabama).

The current practice location address for Mulberry Wellness Salon Llc is 1734 Mulberry St, Montgomery, AL and can be reached out via phone at 334-819-7249 and via fax at 334-819-7249.

Location: 1734 Mulberry St, Montgomery, AL, 36106-1524
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1669732301
Provider Name
Mulberry Wellness Salon Llc
Credential
Provider Entity Type
Organization
Address
1734 Mulberry St, Montgomery, AL, 36106-1524
Phone Number
334-819-7249
Fax Number
334-819-7249
Provider Enumeration Date
05/28/2012
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
39089 01 AL MASTER COSMETOLOGIST; NON-SURGICAL HAIR REPLACEMENT
institution
Provider Business Practice Location Address Details
Address
1734 Mulberry St
City
Montgomery
State
Alabama
Zip
36106-1524
Phone Number
334-819-7249
Fax Number
334-819-7249
person
Provider Business Mailing Address Details
Address
1734 Mulberry St
City
Montgomery
State
Alabama
Zip
36106-1524
Phone Number
334-819-7249
Fax Number
334-819-7249
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
39089 (Alabama)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
person
Provider's Taxonomy Details 2
Type
Other Service Providers
Classification
Specialist
Speciality
Prosthetics Case Management
Taxonomy
1744P3200X
License No.
161733 (Alabama)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Customized Equipment
Taxonomy
332BC3200X
License No.
39089 (Alabama)
Definition
Definition to come...
person
Provider's Taxonomy Details 4
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
161733 (Alabama)
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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