HUNTINGTON COMFORT SHOES AND ORTHOTICS LLC NPI 1306156534

NPI Information

HUNTINGTON COMFORT SHOES AND ORTHOTICS LLC is a pedorthist in Huntington, WV. The provider is an individual who is trained in the management and treatment of conditions of the foot, ankle, and lower extremities requiring fitting, fabricating, and adjusting of pedorthic devices. HUNTINGTON COMFORT SHOES AND ORTHOTICS LLC NPI is 1306156534. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2516B 5TH AVE
HUNTINGTON, WV
ZIP 25703-619
Phone: (304) 525-7463
Fax: (304) 525-1000

The provider's authorized official is David Chris Wood .
The authorized official title is Member and has the following contact phone number (304) 525-7463.

The CLIA number assigned to this NPI record is 51D2268904 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/21/2010 and was last updated on 12/8/2011.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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