PHYLLIS DAVIS COSMETOLOGIST
NPI 1568871200
Prosthetic/Orthotic Supplier in Indianapolis, IN
- Organization
- Prosthetic/Orthotic Supplier
About PHYLLIS DAVIS COSMETOLOGIST
This page provides the complete NPI Profile along with additional information for Phyllis Davis Cosmetologist, a provider established in Indianapolis, Indiana operating as a Prosthetic/orthotic Supplier. The healthcare provider is registered in the NPI registry with number 1568871200 assigned on August 2014. The practitioner's primary taxonomy code is 335E00000X with license number BC107209275 (IN). The provider is registered as an organization and their NPI record was last updated 12 years ago. The authorized official of this NPI record is Phyllis Terri Davis (Cosmetologist)
- NPI
- 1568871200 Verify this NPI
- Provider Name
- PHYLLIS DAVIS COSMETOLOGIST
- Entity Type
- Organization
- Location Address
- 2336 E 53RD ST INDIANAPOLIS, IN 46220
- Location Phone
- (317) 259-2957
- Mailing Address
- 6057 TWYCKENHAM DR INDIANAPOLIS, IN 46236
- Mailing Phone
- (317) 728-0045
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-07-2014
- Last Update Date
- 08-07-2014
- Code Navigator
Location Map
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
- License No.
- BC107209275
- License State
- IN
- 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.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1568871200, enumerated as an "organization" on August 07, 2014.
The provider is located at 2336 E 53RD ST INDIANAPOLIS, IN 46220 and the phone number is (317) 259-2957.
Prosthetic/Orthotic Supplier with taxonomy code 335E00000X.
