OrganizationActive
Ae Wellness, LLC
NPI 1396137121 · Durable Medical Equipment & Medical Supplies · Jackson, MO
Provider details
- NPI number
- 1396137121
- Entity type
- Organization
- Primary specialty
- Durable Medical Equipment & Medical SuppliesSuppliers
- Organization subpart
- No
- Authorized official
- Jamie Mccoy, Manager(573) 225-2151
Specialties & taxonomies
Suppliers
Practice location
415 W Main St
Suite B
Jackson, MO 63755-1801
Phone: (573) 225-2151
Approximate (ZIP-level) locationGet directions
Mailing address
415 W Main St
Jackson, MO 63755-1801
Registry dates
- Enumerated
- 2015-03-03
- Last updated
- 2016-04-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.