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Mixed Roots Llc
Prosthetic/Orthotic Supplier in Raleigh, North Carolina
NPI 1962263871

Mixed Roots Llc is a Prosthetic/Orthotic Supplier based in Zebulon, NC. Mixed Roots Llc practices in Raleigh, NC. The NPI Number for Mixed Roots Llc is 1962263871 and holds a License No. (North Carolina).

The current practice location address for Mixed Roots Llc is 6300 Creedmoor Rd Ste 118, Raleigh, NC and can be reached out via phone at 919-720-4080.

Location: 6300 Creedmoor Rd Ste 118, Raleigh, NC, 27597-6880
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1962263871
Provider Name
Mixed Roots Llc
Credential
Provider Entity Type
Organization
Address
6300 Creedmoor Rd Ste 118, Raleigh, NC, 27597-6880
Phone Number
919-720-4080
Fax Number
Provider Enumeration Date
01/18/2024
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
6300 Creedmoor Rd Ste 118
City
Raleigh
State
North Carolina
Zip
27612-6730
Phone Number
919-720-4080
Fax Number
person
Provider Business Mailing Address Details
Address
6300 Creedmoor Rd Ste 118
City
Raleigh
State
North Carolina
Zip
27612-6730
Phone Number
919-720-4080
Fax Number
person
Provider's Taxonomy Details 1
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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