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Organization

FIT MY FEET ORTHOTIC LAB AND SHOES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. CHARLENE KAY KOLTERMAN (OWNER/MANAGER)
(402) 649-0956
Entity
Organization

Contact information

Practice address
2105B S MINNESOTA AVE, SIOUX FALLS, SD 57105-3709
(402) 649-0956
Mailing address
2105B S MINNESOTA AVE, SIOUX FALLS, SD 57105-3709
(402) 649-0956

Taxonomy

Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary

Other

Enumeration date
12/23/2012
Last updated
12/23/2012
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