1. Home
  2. Directory
  3. Missouri
  4. Bonne Terre
  5. Anaplastologist
  6. NPI Profile

VISAGE CUSTOM PROSTHETICS
NPI 1023382116
Anaplastologist in Bonne Terre, MO

Active since March 07, 2012
53 E JOHNSON ST, BONNE TERRE, MO 63628(314) 732-2658 Get Directions Write a Review

NPPES record last updated: March 7, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Visage Custom Prosthetics NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VISAGE CUSTOM PROSTHETICS (NPI 1023382116) is a healthcare organization registered as an anaplastologist in Bonne Terre, Missouri and active in the NPI registry since March 2012. The organization lists Amanda Behr, Anaplastologist, as its authorized official.

NPPES Registry Identity

NPI1023382116
Entity TypeOrganization
Primary Taxonomy229N00000X
Legal Business NameVISAGE STUDIOS, LLC
Location Address53 E JOHNSON STBonne Terre, MO 63628-1773
Mailing Address53 E Johnson StBonne Terre, MO 63628-1773 · (314) 732-2658
Phone(314) 732-2658
Organization SubpartNo
Authorized OfficialAmanda BehrAnaplastologist · (314) 732-2658
Enumeration DateMarch 7, 2012
✔ NPI 1023382116 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnaplastologistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code229N00000X
Definition
An anaplastologist is a professional who creates prostheses for the face and body. Patients treated include those missing anatomy due to cancer, traumatic injury, or birth differences. Generally, there are no state licensing requirements for anaplastologists. Certification specific to anaplastology is provided through the Board for Certified Clinical Anaplastology (BCCA) with a credential title of Certified Clinical Anaplastologist (CCA).
53 E JOHNSON ST, Bonne Terre, MO 63628
Open in Google Maps ↗

Other Names 1

Doing Business AsVisage Custom Prosthetics

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Visage Studios, LLC's NPI number?

The NPI number for Visage Studios, LLC is 1023382116. It was assigned to this organization in the NPPES registry on March 7, 2012. The provider is doing business as Visage Custom Prosthetics.

Where is Visage Studios, LLC located?

Visage Studios, LLC is located at 53 E Johnson St, Bonne Terre, MO 63628. The listed phone number is (314) 732-2658.

What is Visage Studios, LLC's specialty?

The primary specialty registered for this NPI is Anaplastologist with taxonomy code 229N00000X.

When was this NPI record last updated?

The NPPES record for Visage Studios, LLC was last updated on March 7, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.