IndividualActive
Chasity Shipman
NPI 1053046896 · Prosthetic/Orthotic Supplier · Irmo, SC
Provider details
- NPI number
- 1053046896
- Entity type
- Individual
- Primary specialty
- Prosthetic/Orthotic SupplierSuppliers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 70244 (SC)
Specialties & taxonomies
Suppliers
Practice location
1144 Moseley Ave
Irmo, SC 29063-2787
Phone: (803) 244-9369
Approximate (ZIP-level) locationGet directions
Mailing address
266 Caedmons Creek Dr
Irmo, SC 29063-7100
Registry dates
- Enumerated
- 2022-07-17
- Last updated
- 2022-07-17
- Certified
- 2022-07-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.