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Innovative Prosthetic Designs Llc
Prosthetic/Orthotic Supplier in Columbus, Mississippi
NPI 1770535759

Innovative Prosthetic Designs Llc is a Prosthetic/Orthotic Supplier based in Amory, MS. Innovative Prosthetic Designs Llc practices in Columbus, MS. The NPI Number for Innovative Prosthetic Designs Llc is 1770535759 and holds a License No. (Mississippi).

The current practice location address for Innovative Prosthetic Designs Llc is 523 Lincoln Rd, Columbus, MS and can be reached out via phone at 662-240-9700 and via fax at 662-240-9928.

Location: 523 Lincoln Rd, Columbus, MS, 38821-0689
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1770535759
Provider Name
Innovative Prosthetic Designs Llc
Credential
Provider Entity Type
Organization
Address
523 Lincoln Rd, Columbus, MS, 38821-0689
Phone Number
662-240-9700
Fax Number
662-240-9928
Provider Enumeration Date
05/17/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
04057226 05 MS
institution
Provider Business Practice Location Address Details
Address
523 Lincoln Rd
City
Columbus
State
Mississippi
Zip
39705-2225
Phone Number
662-240-9700
Fax Number
662-240-9928
person
Provider Business Mailing Address Details
Address
523 Lincoln Rd
City
Columbus
State
Mississippi
Zip
39705-2225
Phone Number
662-240-9700
Fax Number
662-240-9928
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
(Mississippi)
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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