Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Customized Equipment |
332BC3200X | 87 | All Other Suppliers | |
Durable Medical Equipment & Medical Supplies |
332B00000X | 54 | Other Medical Supply Company | |
Home Modifications |
171WH0202X | |||
Vehicle Modifications |
171WV0202X |
| NPI # | 1033933809 |
| LBN Legal business name | THE CREATIVE MOBILITY GROUP, INC |
| Authorized official | THOMAS STOWERS - (OWNER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 11/08/2024 |
| Last updated | 11/08/2024 - More than a year ago |
| Identifiers | n/a |
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