MEDICARE: CRANIAL PROSTHETIC SOULTIONS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332BC3200X	Customized Equipment (DME)
2	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1043159049
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CRANIAL PROSTHETIC SOULTIONS

Provider Business Mailing Address
First Line	:	7809 AFFINITY PL
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45231-3569
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7809 AFFINITY PL
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45231-3569
Country	:	US
Telephone Number	:	513-687-3440
Fax Number	:

Authorized Official
Title or Position	:	CRANIAL PROSTHETIC SPECIALIST
Name	:	KRYSTAL TONEY
Credential	:
Telephone Number	:	513-351-1097

Provider Enumeration Date	:	03/25/2026
Last Update Date	:	03/25/2026

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