Organization
HEART TO SOLE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE S MASSIE LICENSED PEDORTHIST (MANAGER/BILLER)
(618) 234-3338
Entity
Organization
Contact information
Practice address
5200 N ILLINOIS ST, SUITE 103, FAIRVIEW HEIGHTS, IL 62208-3454
(618) 234-3338
Mailing address
5200 N ILLINOIS ST, SUITE 103, FAIRVIEW HEIGHTS, IL 62208-3454
(618) 234-3338
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
IL
Other
Enumeration date
05/28/2006
Last updated
08/22/2020
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