OrganizationActive
Carresha Goodlow
NPI 1154864213 · Prosthetic/Orthotic Supplier · Norway, MI
Provider details
- NPI number
- 1154864213
- Entity type
- Organization
- Primary specialty
- Prosthetic/Orthotic SupplierSuppliers
- Authorized official
- Carresha Goodlow, C.e.o
- License
- 2701437960 (MI)
Mailing address
Po Box 6561
Milwaukee, WI 53206-0561
Registry dates
- Enumerated
- 2016-11-22
- Last updated
- 2016-11-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.