Atlas Bracing LLC

NPI #1548950173 in Pocatello, Idaho

Provider Information

NPI Number
1548950173
Entity Type
Organization
Organization Name
Atlas Bracing LLC
Subpart
Yes (part of a larger organization)
Parent Organization
STREAMLINE SPORTS PHYSICAL THERAPY PC
Primary Specialty
Durable Medical Equipment & Medical Supplies - Customized Equipment
Enumeration Date
May 8, 2023
Last Updated
May 8, 2023

Practice Location

Address
4133 N GARTON LN
State
Idaho
ZIP Code
83204-7102
Phone
(208) 244-7751

Authorized Official

Name
DEBORAH A GOSS
Title
CREDENTIALING
Phone
(208) 221-1161

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies - Customized EquipmentCustomized Equipment

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