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Wellness Source, Inc.
Prosthetic/Orthotic Supplier in Mooresville, North Carolina
NPI 1770689135

Wellness Source, Inc. is a Prosthetic/Orthotic Supplier based in Mooresville, NC. Wellness Source, Inc. practices in Mooresville, NC. The NPI Number for Wellness Source, Inc. is 1770689135 and holds a License No. (North Carolina).

The current practice location address for Wellness Source, Inc. is 125 Commerce Park Rd, Mooresville, NC and can be reached out via phone at 704-799-2873. You can also correspond with Wellness Source, Inc. through the mailing address at PO BOX 4837, MOORESVILLE, NC - 28117-4837 (mailing address contact number: ).

Location: 125 Commerce Park Rd, Mooresville, NC, 28117-4837
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1770689135
Provider Name
Wellness Source, Inc.
Credential
Provider Entity Type
Organization
Address
125 Commerce Park Rd, Mooresville, NC, 28117-4837
Phone Number
704-799-2873
Fax Number
Provider Enumeration Date
09/15/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7704485 05 NC
institution
Provider Business Practice Location Address Details
Address
125 Commerce Park Rd
City
Mooresville
State
North Carolina
Zip
28117-7131
Phone Number
704-799-2873
Fax Number
person
Provider Business Mailing Address Details
Address
125 Commerce Park Rd
City
Mooresville
State
North Carolina
Zip
28117-7131
Phone Number
704-799-2873
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
Orthotic Fitter
Speciality
-
Taxonomy
225000000X
License No.
()
Definition
An individual trained in the management of fitting prefabricated orthoses.
person
Provider's Taxonomy Details 3
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 4
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Customized Equipment
Taxonomy
332BC3200X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 5
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Dialysis Equipment & Supplies
Taxonomy
332BD1200X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 6
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Parenteral & Enteral Nutrition
Taxonomy
332BP3500X
License No.
01026 (North Carolina)
Definition
Definition to come...
person
Provider's Taxonomy Details 7
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Oxygen Equipment & Supplies
Taxonomy
332BX2000X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 8
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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