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NPI Code Detail

MEDICARE: BEAUTYY OF TRESSES

MEDICARE: BEAUTYY OF TRESSES
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
1335E00000XProsthetic/Orthotic Supplier

General Provider Information

NPI Number : 1932874740
Entity Type Code : Organization
Provider Name (Legal Business Name) : BEAUTYY OF TRESSES
Provider Business Mailing Address
First Line : 2000 LEE RD UNIT 271
Second Line :
City : CLEVELAND HEIGHTS
State : OH
Zip : 44118-2572
Country : US
Telephone Number : 440-709-8300
Fax Number : 937-403-9212
Provider Business Practice Location Address
First Line : 945 E 149TH ST
Second Line :
City : CLEVELAND
State : OH
Zip : 44110-3707
Country : US
Telephone Number : 440-709-8300
Fax Number : 937-403-9212
Authorized Official
Title or Position : CRANIAL PROTHESIS SPECIALIST
Name : SHIKEYA OWENS
Credential :
Telephone Number : 216-804-0735
Provider Enumeration Date : 08/13/2021
Last Update Date : 09/24/2021

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Directions to “BEAUTYY OF TRESSES ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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