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AT LAST BRA AND LINGERIE BOUTIQUE LLC NPI 1245698984


NPI Information

NPI: 1245698984
Provider Name: AT LAST BRA AND LINGERIE BOUTIQUE LLC

Doing Business As: AT LAST... BRAS, A MASTECTOMY BOUTIQUE

Classification: Prosthetic/Orthotic Supplier - 335E00000X
Entity Type: Organization
Address:
1329 HOWE AVE STE 101
SACRAMENTO, CA
ZIP 95825
Phone: (916) 480-9501
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AT LAST BRA AND LINGERIE BOUTIQUE LLC is a prosthetic orthotic supplier in Sacramento, CA. 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. AT LAST BRA AND LINGERIE BOUTIQUE LLC NPI is 1245698984. The provider is registered as an organization entity type.
The provider Is Doing Business As At Last... Bras, A Mastectomy Boutique.

The provider's business location address is:

1329 HOWE AVE STE 101
SACRAMENTO, CA
ZIP 95825-363
Phone: (916) 480-9501
Fax: (916) 514-8991

The provider's authorized official is Benita Leichelle Kimball .
The authorized official title is Owner and has the following contact phone number (916) 480-9501.

The enumeration date for this NPI number is 2/9/2016 and was last updated on 3/26/2024.


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 SupplierC52184CALIFORNIAYes

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.