THE LEGACY HAUS NPI 1407736820

NPI Information

  • NPI: 1407736820
  • Provider Name: THE LEGACY HAUS
  • Classification: Prosthetic/Orthotic Supplier - 335E00000X
  • Entity Type: Organization
  • Address: 3195 MCCULLOUGH BLVD
    BELDEN, MS
    ZIP 38826
  • Phone: (662) 350-0311

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NPI Details

THE LEGACY HAUS is a prosthetic orthotic supplier in Belden, MS. 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. THE LEGACY HAUS NPI is 1407736820. The provider is registered as an organization entity type.

The provider's business location address is:

3195 MCCULLOUGH BLVD
BELDEN, MS
ZIP 38826-311
Phone: (662) 350-0311

The provider's authorized official is Praylar R Shells .
The authorized official title is Professional Cosmotology and has the following contact phone number (662) 419-6369.

The enumeration date for this NPI number is 9/5/2025 and was last updated on 9/5/2025.

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
1335E00000XProsthetic/Orthotic SupplierYes

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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