# PRIMPED 365 LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275311417
- **Authorized official:** JENEEN FRENCH WILSON (OWNER)
- **Authorized official phone:** (540) 449-5753

## Contact information

- **Practice address:** 782 NEW RIVER ROAD, SUITE 716, CHRISTIANSBURG, VA 24073
- **Practice address phone:** (540) 449-5753
- **Practice address fax:** (540) 253-8014
- **Mailing address:** 782 NEW RIVER ROAD, SUITE 716, CHRISTIANSBURG, VA 24073
- **Mailing address phone:** (540) 449-5753
- **Mailing address fax:** (540) 253-8014

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 224P00000X | Prosthetist | — | — | Yes |
| 225000000X | Orthotic Fitter | — | — | — |
| 335E00000X | Prosthetic/Orthotic Supplier | — | — | — |

## Other

- **Enumeration date:** 09/19/2023
- **Last updated:** 07/08/2025