PHENOMENAL TRESSES LLC
NPI 1376261255
Prosthetic/Orthotic Supplier in Tallahassee, FL

Active since August 17, 2022
1010 S MAGNOLIA DR, TALLAHASSEE, FL 32301(850) 332-3434(850) 806-1883 Get Directions Write a Review

NPPES record last updated: September 1, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Sep 1, 2022, Aug 17, 2022 (2 updates tracked since 2022).

  • Organization
  • Prosthetic/Orthotic Supplier

About PHENOMENAL TRESSES LLC

This page provides the complete NPI Profile along with additional information for Phenomenal Tresses Llc, a provider established in Tallahassee, Florida operating as a Prosthetic/orthotic Supplier. The healthcare provider is registered in the NPI registry with number 1376261255 assigned on August 2022. The practitioner's primary taxonomy code is 335E00000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The authorized official of this NPI record is Mrs. Thamar Williams (Prosthetic Orthotic Provider)

NPI
1376261255 Verify this NPI
Provider Name
PHENOMENAL TRESSES LLC
Entity Type
Organization
Location Address
1010 S MAGNOLIA DR TALLAHASSEE, FL 32301
Location Phone
(850) 332-3434
Location Fax
(850) 806-1883
Mailing Address
1010 S MAGNOLIA DR TALLAHASSEE, FL 32301
Mailing Phone
(850) 332-3434
Mailing Fax
(850) 806-1883
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-17-2022
Last Update Date
09-01-2022
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Location Map

Secondary Locations

  • 2211 Pontiac Dr
    Tallahassee, FL 32301
    (850) 332-3434

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Prosthetic/Orthotic Supplier

Taxonomy Code
335E00000X
Type
Suppliers
Taxonomy Description
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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MRS. THAMAR WILLIAMS

Authorized Official Title
PROSTHETIC ORTHOTIC PROVIDER
Authorized Official Phone
(850) 332-3434

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1376261255, enumerated as an "organization" on August 17, 2022.

The provider is located at 1010 S MAGNOLIA DR TALLAHASSEE, FL 32301 and the phone number is (850) 332-3434.

Prosthetic/Orthotic Supplier with taxonomy code 335E00000X.