# LEDDY BRACE & SHOE INC

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

## Provider details

- **NPI number:** 1578563193
- **Authorized official:** MR. RAYMOND ARDELL BLASINGAME CPED L.O. (ORTHOTIST PRESIDENT)
- **Authorized official phone:** (325) 673-5281

## Contact information

- **Practice address:** 932 N TREADAWAY BLVD, ABILENE, TX 79601-4315
- **Practice address phone:** (325) 673-5281
- **Practice address fax:** (325) 673-5282
- **Mailing address:** 932 N TREADAWAY BLVD, ABILENE, TX 79601-4315
- **Mailing address phone:** (325) 673-5281
- **Mailing address fax:** (325) 673-5282

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 000055 | TX | Yes |

## Other

- **Enumeration date:** 07/26/2005
- **Last updated:** 01/16/2013