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An individual skilled in the practice, making, use, and application to individual cases of an artificial substitute for a missing body part, such as an arm or leg, eye or tooth, used for functional or cosmetic reasons, or both
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Prosthetist |
224P00000X | 56 | Individual Certified Prosthetist | |
Orthotics/Prosthetics Fitter |
225000000X | |||
Prosthetic/Orthotic Supplier |
335E00000X | 51 | Medical Supply Company with Orthotist |
| NPI # | 1275311417 |
| LBN Legal business name | PRIMPED 365 LLC |
| Authorized official | JENEEN WILSON - (OWNER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 09/19/2023 |
| Last updated | 07/08/2025 - About 11 months ago |
| Identifiers | n/a |
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PRIMPED 365 LLC