Professional Footwear LLC

NPI #1467403055 in Seymour, Indiana

Provider Information

NPI Number
1467403055
Entity Type
Organization
Organization Name
Professional Footwear LLC
Primary Specialty
Durable Medical Equipment & Medical Supplies
Enumeration Date
May 16, 2006
Last Updated
Jul 14, 2015

Practice Location

Address
1239 E 4TH STREET RD
State
Indiana
ZIP Code
47274-1839
Phone
(812) 522-3800

Authorized Official

Name
TERRY L. NICHALSON
Title
MANAGER
Phone
(812) 522-3800

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies

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