Organization
MARY FREE BED ORTHOTICS AND PROSTHETICS
Active
Organization
MARY FREE BED ORTHOTICS AND PROSTHETICS
Active
Other names
Mary Free Bed Orthotics and Prosthetics Lansing
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT TUCK (COMPLIANCE OFFICER)
(616) 502-6488
Entity
Organization
Contact information
Practice address
1219 E SAGINAW ST, LANSING, MI 48906-5523
(517) 485-5877
(616) 840-9504
Mailing address
235 WEALTHY ST SE STE 1100, GRAND RAPIDS, MI 49503-5247
(616) 840-8433
(616) 840-9504
Taxonomy
Speciality
Code
Description
License number
State
224L00000X
Pedorthist
—
—
224P00000X
Prosthetist
—
—
225000000X
Orthotic Fitter
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
07/18/2018
Last updated
11/13/2025
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