Organization
ENVISION BRACING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IBETH BUITRAGO (CEO/DIRECTOR)
(307) 213-6006
Entity
Organization
Contact information
Practice address
1108 14TH ST, SUITE 148, CODY, WY 82414-3743
(307) 213-6006
(307) 333-0337
Mailing address
1108 14TH ST, SUITE 148, CODY, WY 82414-3743
(307) 213-6006
(307) 333-0337
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
10/09/2016
Last updated
05/16/2018
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