PRINCESS MANES
NPI 1104645308
Prosthetic/Orthotic Supplier in Minneapolis, MN

Active since October 07, 2024
4171 LYNDALE AVE N, MINNEAPOLIS, MN 55412(612) 451-9721 Get Directions Write a Review

NPPES record last updated: July 28, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Princess Manes NPPES

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

PRINCESS MANES (NPI 1104645308) is a healthcare organization registered as a prosthetic/orthotic supplier in Minneapolis, Minnesota and active in the NPI registry since October 2024. The organization lists Latisha Miller, Owner, as its authorized official.

NPPES Registry Identity

NPI1104645308
Entity TypeOrganization
Primary Taxonomy335E00000X
Legal Business NamePRINCESS MANES
Location Address4171 LYNDALE AVE NMinneapolis, MN 55412-1737
Mailing Address3123 Russell Ave N # 1Minneapolis, MN 55411-1018 · (612) 743-2688
Organization SubpartNo
Authorized OfficialLatisha MillerOwner · (612) 743-2688
Enumeration DateOctober 7, 2024
Last NPPES UpdateJuly 28, 2025
NPPES CertifiedOctober 6, 2024
NPI 1104645308 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyProsthetic/Orthotic SupplierSuppliers
Taxonomy Code335E00000X
Definition
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
4171 LYNDALE AVE N, Minneapolis, MN 55412

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Prosthetic/Orthotic Supplier
4171 LYNDALE AVE N
MINNEAPOLIS, MN 55412

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 Princess Manes's NPI number?

The NPI number for Princess Manes is 1104645308. It was assigned to this organization in the NPPES registry on October 7, 2024.

Where is Princess Manes located?

Princess Manes is located at 4171 Lyndale Ave N, Minneapolis, MN 55412. The listed phone number is (612) 451-9721.

What is Princess Manes's specialty?

The primary specialty registered for this NPI is Prosthetic/Orthotic Supplier with taxonomy code 335E00000X.

When was this NPI record last updated?

The NPPES record for Princess Manes was last updated on July 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.