Organization
Z-COIL PAIN RELIEF FOOTWEAR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ALTINA SHELLEY (OWNER)
(417) 890-2433
Entity
Organization
Contact information
Practice address
2674 S GLENSTONE AVE, SPRINGFIELD, MO 65804-3718
(417) 890-2433
(417) 890-2434
Mailing address
2674 S GLENSTONE AVE, SPRINGFIELD, MO 65804-3718
(417) 890-2433
(417) 890-2434
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
BUS2005-01443
MO
Other
Enumeration date
02/06/2009
Last updated
02/06/2009
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