Provider Type Icon

SECOND TO NATURE BOUTIQUE LLC NPI 1114210218


NPI Information

NPI: 1114210218
Provider Name: SECOND TO NATURE BOUTIQUE, LLC
Classification: Prosthetic/Orthotic Supplier - 335E00000X
Entity Type: Organization
Address:
4123 LAWNDALE DR STE 101
GREENSBORO, NC
ZIP 27455
Phone: (336) 274-2003
Get Directions

SECOND TO NATURE BOUTIQUE, LLC is a prosthetic orthotic supplier in Greensboro, NC. The provider is 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. SECOND TO NATURE BOUTIQUE, LLC NPI is 1114210218. The provider is registered as an organization entity type.

The provider's business location address is:

4123 LAWNDALE DR STE 101
GREENSBORO, NC
ZIP 27455-887
Phone: (336) 274-2003
Fax: (336) 274-2052

The provider's authorized official is Ramona Hertzell .
The authorized official title is Mbr and has the following contact phone number (336) 274-2003.

The enumeration date for this NPI number is 5/23/2011 and was last updated on 8/2/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1335E00000XProsthetic/Orthotic Supplier600815424NORTH CAROLINAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.