Organization
WHEN THE SHOE FITS
Active
Other names
FOOT SOLUTIONS
Organization subpart
No
Provider details
NPI number
Authorized official
CONNIE TARY (OWNER)
(651) 739-3668
Entity
Organization
Contact information
Practice address
7060 VALLEY CREEK PLZ, SUITE 113, WOODBURY, MN 55125-2269
(651) 739-3668
(651) 739-3678
Mailing address
7060 VALLEY CREEK PLZ, SUITE 113, WOODBURY, MN 55125-2269
(651) 739-3668
(651) 739-3678
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
164941
UCARE
—
01
—
206L2FO
BLUE CROSS
—
Enumeration date
11/14/2006
Last updated
03/27/2008
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