MY HAIR BOUTIQUE LLC – NPI #1477233112
Prosthetic/Orthotic Supplier

An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.

MY HAIR BOUTIQUE LLC is a DME Supplier located in MOORESTOWN, NJ. NPPES has assigned the NPI number 1477233112 to MY HAIR BOUTIQUE LLC on July 18, 2023. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 335E00000X from the Health Care Provider Taxonomy code set, which is classified as Prosthetic/Orthotic Supplier.

The NPI profile was previously updated about 3 years ago on Sep 08, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MY HAIR BOUTIQUE LLC below.

NPI Profile for
MY HAIR BOUTIQUE LLC

NPI Number
1477233112
Enumeration Date

(about 3 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MY HAIR BOUTIQUE LLC
Primary location
400 W ROUTE 38 UNIT 1460
MOORESTOWN, NJ 08057-3219
Phone: (856) 386-0406 Fax:
Mailing address
209 FLORENCE AVE
ATCO, NJ 08004-2354
Phone: (215) 501-4023 Fax:
Organization Subpart
No
Authorized Official
UNA MCKENZIE
CRANIAL PROSTHESIS SPECIALIST
Phone: (215) 501-4023
Updated
Certification Date
Sep 08, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
335E00000X
- Prosthetic/Orthotic Supplier (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.