| Organization Name: | CUTTUPNDYED |
| NPI Number: | 1043604366 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ALYSSIA CASSANDRA EDWARDS (SPECIALIST) |
| Mailing Address: | 14110 Burwells Bay Rd Smithfield |
| State: | VA US |
| Postal Code: | 234303711 |
| Phone Number: | 4434537889 |
| Fax Number: | |
| NPI Enumeration Date: | 03/25/2015 |
| NPI Last Update Date: | 03/25/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1744P3200X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Specialist |
| Taxonomy Specialization: | Prosthetics Case Management |
| Taxonomy Definition: | |