Organization
MARY FREE BED ORTHOTICS AND PROSTHETICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROB TUCK (COMPLIANCE MANAGER)
(616) 502-6488
Entity
Organization
Contact information
Practice address
2500 NILES RD STE B, SAINT JOSEPH, MI 49085-3237
(269) 429-3292
Mailing address
235 WEALTHY ST SE, GRAND RAPIDS, MI 49503-5247
Taxonomy
Speciality
Code
Description
License number
State
225000000X
Orthotic Fitter
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
03/26/2019
Last updated
11/13/2025
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