PHYLLIS DAVIS COSMETOLOGIST
NPI 1568871200
Prosthetic/Orthotic Supplier in Indianapolis, IN

Active since August 07, 2014
2336 E 53RD ST, INDIANAPOLIS, IN 46220(317) 259-2957 Get Directions Write a Review

NPPES record last updated: August 7, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Phyllis Davis Cosmetologist NPPES

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

PHYLLIS DAVIS COSMETOLOGIST (NPI 1568871200) is a healthcare organization registered as a prosthetic/orthotic supplier in Indianapolis, Indiana and active in the NPI registry since August 2014. The organization lists Phyllis Terri Davis, Cosmetologist, as its authorized official.

NPPES Registry Identity

NPI1568871200
Entity TypeOrganization
Primary Taxonomy335E00000X
Legal Business NamePHYLLIS DAVIS COSMETOLOGIST
Location Address2336 E 53RD STIndianapolis, IN 46220-3430
Mailing Address6057 Twyckenham DrIndianapolis, IN 46236-7372 · (317) 728-0045
Organization SubpartNo
Authorized OfficialPhyllis Terri DavisCosmetologist · (317) 728-0045
Enumeration DateAugust 7, 2014
NPI 1568871200 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyProsthetic/Orthotic SupplierSuppliers
Taxonomy Code335E00000X
License Licensed in IN · BC107209275
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.
2336 E 53RD ST, Indianapolis, IN 46220

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 Phyllis Davis Cosmetologist's NPI number?

The NPI number for Phyllis Davis Cosmetologist is 1568871200. It was assigned to this organization in the NPPES registry on August 7, 2014.

Where is Phyllis Davis Cosmetologist located?

Phyllis Davis Cosmetologist is located at 2336 E 53rd St, Indianapolis, IN 46220. The listed phone number is (317) 259-2957.

What is Phyllis Davis Cosmetologist'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 Phyllis Davis Cosmetologist was last updated on August 7, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.