Organization
MARY FREE BED ORTHOTICS AND PROSTHETICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT TUCK CPO (COMPLIANCE OFFICER)
(616) 502-6488
Entity
Organization
Contact information
Practice address
7123 STADIUM DR, KALAMAZOO, MI 49009-4943
(616) 840-8007
Mailing address
235 WEALTHY ST SE, GRAND RAPIDS, MI 49503-5247
(616) 840-8007
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
—
—
224P00000X
Prosthetist
—
—
225000000X
Orthotic Fitter
—
—
Other
Enumeration date
06/28/2019
Last updated
11/13/2025
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