Organization
STANDUP MOBILITY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TOM WIGGINTON (OWNER)
(913) 908-6857
Entity
Organization
Contact information
Practice address
12616 W 62ND TER, STE A-115A, SHAWNEE, KS 66216-1811
(913) 217-7764
(913) 422-8858
Mailing address
12616 W 62ND TER, STE 115A, SHAWNEE, KS 66216-1811
(913) 217-7764
(913) 422-8858
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
04/20/2007
Last updated
02/22/2011
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