Organization
EMBRACE ORTHOTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELSEY HUBER BOCO, BOCPD, CFO (OWNER)
(605) 359-6461
Entity
Organization
Contact information
Practice address
708 S ROOSEVELT ST STE 2, ABERDEEN, SD 57401-0300
(605) 725-0061
(605) 725-0062
Mailing address
708 S ROOSEVELT ST STE 2, ABERDEEN, SD 57401-0300
(605) 725-0061
(605) 725-0062
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
—
—
224L00000X
Pedorthist
—
—
225000000X
Orthotic Fitter
—
—
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
03/25/2016
Last updated
05/26/2016
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