MEDICARE: HER PROSTHETICS, LLC

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	335E00000X	Prosthetic/Orthotic Supplier

General Provider Information

NPI Number	:	1588594923
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HER PROSTHETICS, LLC

Provider Business Mailing Address
First Line	:	238 N LOOP 1604 W STE 204
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78232-1455
Country	:	US
Telephone Number	:	210-872-6511
Fax Number	:

Provider Business Practice Location Address
First Line	:	238 N LOOP 1604 W STE 204
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78232-1455
Country	:	US
Telephone Number	:	210-872-6511
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	SHANNON HILL
Credential	:
Telephone Number	:	210-872-6511

Provider Enumeration Date	:	05/19/2026
Last Update Date	:	05/19/2026

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Directions to “HER PROSTHETICS, LLC ” Practice Location

Language	Start Address	Practice Location

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