=====================================================
General NPI Number Information
=====================================================
NPI Number | 1730244500
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | F T INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 12/22/2006
-----------------------------------------------------
Last Update Date | 08/22/2020
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 3619 MARION PLACE
-----------------------------------------------------
City | MOSS POINT
-----------------------------------------------------
State | MS
-----------------------------------------------------
Zip | 39563-2227
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 228-475-9221
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 3619 MARION PLACE
-----------------------------------------------------
City | MOSS POINT
-----------------------------------------------------
State | MS
-----------------------------------------------------
Zip | 39563-2227
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 228-475-9221
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | VICE PRES SECTY
-----------------------------------------------------
Name | MS. BARBARA M EASLEY
-----------------------------------------------------
Credential | CERTIFIED FITTER
-----------------------------------------------------
Telephone | 228-475-9221
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 332B00000X
-----------------------------------------------------
Taxonomy Name | Durable Medical Equipment & Medical Supplies
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State | MS
-----------------------------------------------------