SECOND SOLE SHOE REPAIR
NPI 1306912787
Prosthetic/Orthotic Supplier in Bala Cynwyd, PA

Active since November 28, 2006
99 E CITY LINE AVE, SECOND SOLE SHOE REPAIR BALA CYNWYD SHOPPING CTR, BALA CYNWYD, PA 19004(610) 664-0770 Get Directions Write a Review

NPPES record last updated: June 17, 2008. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Second Sole Shoe Repair NPPES

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

SECOND SOLE SHOE REPAIR (NPI 1306912787) is a healthcare organization registered as a prosthetic/orthotic supplier in Bala Cynwyd, Pennsylvania and active in the NPI registry since November 2006. The organization lists Henry Mohler Boyd, Owner, as its authorized official.

NPPES Registry Identity

NPI1306912787
Entity TypeOrganization
Primary Taxonomy335E00000X
Legal Business NameSECOND SOLE SHOE REPAIR
Location Address99 E CITY LINE AVE, SECOND SOLE SHOE REPAIR BALA CYNWYD SHOPPING CTRBala Cynwyd, PA 19004
Mailing Address99 E City Line Ave, Second Sole Shoe Repair Bala Cynwyd Shopping CtrBala Cynwyd, PA 19004 · (610) 664-0770
Organization SubpartNo
Authorized OfficialHenry Mohler BoydOwner · (610) 664-0770
Enumeration DateNovember 28, 2006
Last NPPES UpdateJune 17, 2008
NPI 1306912787 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.
99 E CITY LINE AVE, Bala Cynwyd, PA 19004

Other Identifiers 1

Medicare ID-Type Unspecified0972070001

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 Second Sole Shoe Repair's NPI number?

The NPI number for Second Sole Shoe Repair is 1306912787. It was assigned to this organization in the NPPES registry on November 28, 2006.

Where is Second Sole Shoe Repair located?

Second Sole Shoe Repair is located at 99 E City Line Ave Second Sole Shoe Repair Bala Cynwyd Shopping Ctr, Bala Cynwyd, PA 19004. The listed phone number is (610) 664-0770.

What is Second Sole Shoe Repair'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 Second Sole Shoe Repair was last updated on June 17, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.