PINKNIFICENT PROSTHETIC LLC NPI 1124933163

NPI Information

  • NPI: 1124933163
  • Provider Name: PINKNIFICENT PROSTHETIC LLC
  • Classification: Specialist - 1744P3200X
  • Specialization: Prosthetics Case Management
  • Entity Type: Organization
  • Address: 15811 KENTFIELD ST
    DETROIT, MI
    ZIP 48223
  • Phone: (313) 268-0859

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NPI Details

PINKNIFICENT PROSTHETIC LLC is a prosthetics case management specialist in Detroit, MI. The provider is Under the Other Service Providers; Specialist the Prosthetics Case Management definition changed to: A case manager who provides services for patients with prosthetics. PINKNIFICENT PROSTHETIC LLC NPI is 1124933163. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

15811 KENTFIELD ST
DETROIT, MI
ZIP 48223-246
Phone: (313) 268-0859

The provider's authorized official is Tiffany Easley .
The authorized official title is Owner and has the following contact phone number (313) 268-0859.

The enumeration date for this NPI number is 8/15/2026 and was last updated on 8/15/2026.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11744P3200XSpecialistProsthetics Case ManagementYes

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: 11/21/2025

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