| Organization Name: | TURNBOW PROSTHETICS LLC |
| NPI Number: | 1104121805 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KENT TURNBOW (MEMBER) |
| Mailing Address: | 561 W Connexion Way Suite 2 Columbia City |
| State: | IN US |
| Postal Code: | 467251048 |
| Phone Number: | 2602440099 |
| Fax Number: | 8882706755 |
| NPI Enumeration Date: | 01/11/2011 |
| NPI Last Update Date: | 06/18/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332BC3200X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | Customized Equipment |
| Taxonomy Definition: | |