A Beautiful You Mastectomy Boutique
A Beautiful You Mastectomy Boutique provides Prosthetic/Orthotic Supplier services in Caldwell, Idaho. Licensed in Idaho. Registered with an NPI since 2014.
- Licensed in
- ID
- In the registry since
- 2014
Practice location Address checks out
2006 Blaine StCaldwell, ID 83605-4343 Not confirmed with CMS for 11 years — call before visiting
Phone: (208) 985-5404
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Prosthetic/Orthotic Supplier (primary) | Taxonomy 335E00000X · Licence CFM02746 (ID) |
|---|
Record details
| NPI number | 1558760611 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Leanne Kovick — Owner/Operator · (208) 985-5404 |
| Other names | A Beautiful You Mastectomy Boutique |
| NPI enumerated | August 14, 2014 |
| Last updated in NPPES | November 12, 2014 |
| Mailing address | 2006 Blaine St, Caldwell, ID 83605-4343 |