Heart to Sole, INC
NPI #1568419059 in Fairview Heights, Illinois
Provider Information
- NPI Number
- 1568419059
- Entity Type
- Organization
- Organization Name
- Heart to Sole, INC
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- May 28, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 5200 N ILLINOIS ST
- Address 2
- SUITE 103
- City
- Fairview Heights
- State
- Illinois
- ZIP Code
- 62208-3454
- Phone
- (618) 234-3338
Authorized Official
- Name
- STEPHANIE S MASSIE, LICENSED PEDORTHIST
- Title
- MANAGER/BILLER
- Phone
- (618) 234-3338
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
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