A BEAUTIFUL YOU MASTECTOMY BOUTIQUE – NPI #1558760611
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.

A BEAUTIFUL YOU MASTECTOMY BOUTIQUE is a DME Supplier located in CALDWELL, ID. NPPES has assigned the NPI number 1558760611 to A BEAUTIFUL YOU MASTECTOMY BOUTIQUE on August 14, 2014. 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 12 years ago on Nov 12, 2014. 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 A BEAUTIFUL YOU MASTECTOMY BOUTIQUE below.

NPI Profile for
A BEAUTIFUL YOU MASTECTOMY BOUTIQUE

NPI Number
1558760611
Enumeration Date

(about 12 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
A BEAUTIFUL YOU MASTECTOMY BOUTIQUE
Doing Business As (dba): A BEAUTIFUL YOU MASTECTOMY BOUTIQUE
Primary location
2006 BLAINE ST
CALDWELL, ID 83605-4343
Phone: (208) 985-5404 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
LEANNE KOVICK
OWNER/OPERATOR
Phone: (208) 985-5404
Updated
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)
ID CFM02746

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.