MEDICARE: PERSONAL TOUCH UP

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	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1164691721
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PERSONAL TOUCH UP

Provider Business Mailing Address
First Line	:	PO BOX 108
Second Line	:
City	:	MILLERSBURG
State	:	OH
Zip	:	44654
Country	:	US
Telephone Number	:	330-674-7311
Fax Number	:	330-674-6300

Provider Business Practice Location Address
First Line	:	8612 SR 39 WEST
Second Line	:
City	:	MILLERSBURG
State	:	OH
Zip	:	44654
Country	:	US
Telephone Number	:	330-674-7311
Fax Number	:	330-674-7311

Authorized Official
Title or Position	:	OWNER OPERATOR
Name	:	MR. RONALD L ALEXANDER
Credential	:
Telephone Number	:	330-674-7311

Provider Enumeration Date	:	02/27/2008
Last Update Date	:	02/27/2008

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Directions to “PERSONAL TOUCH UP ” Practice Location

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