Healthcare Provider Details

I. General information

NPI: 1316482383
Provider Name (Legal Business Name): NATURAL FIT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/30/2016
Last Update Date: 12/30/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

408 CIRCLE DR SUITE C
SILVER LAKE KS
66539-9520
US

IV. Provider business mailing address

6045 NW HUMPHREY RD
TOPEKA KS
66618-5307
US

V. Phone/Fax

Practice location:
  • Phone: 785-213-7348
  • Fax:
Mailing address:
  • Phone: 785-213-7348
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number State

VIII. Authorized Official

Name: KELLY OSTERHAUS
Title or Position: PRESIDENT
Credential:
Phone: 785-213-7348