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Premier Mastectomy Vendor Llc
Massage Therapist in Montgomery, Alabama
NPI 1699458380

Premier Mastectomy Vendor Llc is a Massage Therapist based in Montgomery, AL. Premier Mastectomy Vendor Llc practices in Montgomery, AL. The NPI Number for Premier Mastectomy Vendor Llc is 1699458380 and holds a License No. (Alabama).

The current practice location address for Premier Mastectomy Vendor Llc is 5911 Monticello Dr Ste B, Montgomery, AL and can be reached out via phone at 629-279-5720.

Location: 5911 Monticello Dr Ste B, Montgomery, AL, 36117-1940
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1699458380
Provider Name
Premier Mastectomy Vendor Llc
Credential
Provider Entity Type
Organization
Address
5911 Monticello Dr Ste B, Montgomery, AL, 36117-1940
Phone Number
629-279-5720
Fax Number
Provider Enumeration Date
08/09/2023
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
5911 Monticello Dr Ste B
City
Montgomery
State
Alabama
Zip
36117-1940
Phone Number
629-279-5720
Fax Number
person
Provider Business Mailing Address Details
Address
5911 Monticello Dr Ste B
City
Montgomery
State
Alabama
Zip
36117-1940
Phone Number
629-279-5720
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Mastectomy Fitter
Speciality
-
Taxonomy
224900000X
License No.
()
Definition
An individual trained in the fitting and adjusting of breast prostheses and management of post-mastectomy prostheses services.
person
Provider's Taxonomy Details 2
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
()
Definition
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
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5911 Monticello Dr Ste B,
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36117-1940
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