=====================================================
General NPI Number Information
=====================================================
NPI Number | 1275448185
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | MUSE INTIMATES, LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/17/2026
-----------------------------------------------------
Last Update Date | 08/17/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1876 UTICA SQ STE 2C
-----------------------------------------------------
City | TULSA
-----------------------------------------------------
State | OK
-----------------------------------------------------
Zip | 74114-1424
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 918-392-3430
-----------------------------------------------------
Fax | 918-392-3431
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1876 UTICA SQ STE 2C
-----------------------------------------------------
City | TULSA
-----------------------------------------------------
State | OK
-----------------------------------------------------
Zip | 74114-1424
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 918-392-3430
-----------------------------------------------------
Fax | 918-392-3431
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | MR. JAY FRANKLIN KINDLE
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 918-530-6048
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 335E00000X
-----------------------------------------------------
Taxonomy Name | Prosthetic/Orthotic Supplier
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------