Heavenly Fit LLC
NPI #1073523981 in Campbellsport, Wisconsin
Provider Information
- NPI Number
- 1073523981
- Entity Type
- Organization
- Organization Name
- Heavenly Fit LLC
- Primary Specialty
- Prosthetic/Orthotic Supplier
- Enumeration Date
- Aug 9, 2006
- Last Updated
- Mar 31, 2008
Practice Location
- Address
- 545 SKYHAWK AVE
- City
- Campbellsport
- State
- Wisconsin
- ZIP Code
- 53010-3055
- Phone
- (920) 533-3050
Authorized Official
- Name
- JEFFREY SCOTT MC CALLUM
- Title
- OWNER
- Phone
- (920) 533-3050
Specialties & Taxonomy Codes
| Specialty |
|---|
| Prosthetic/Orthotic Supplier |
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