OrganizationActive
Edge Luxe Image Consulting LLC
NPI 1700210689 · Prosthetic/Orthotic Supplier · Beavercreek, OH
Provider details
- NPI number
- 1700210689
- Entity type
- Organization
- Primary specialty
- Prosthetic/Orthotic SupplierSuppliers
- Organization subpart
- No
- Authorized official
- Chandi Bozeman, Owner(937) 241-2972
Specialties & taxonomies
Suppliers
Practice location
112 Magnolia St
Beavercreek, OH 45440-1370
Phone: (937) 241-2972
Approximate (ZIP-level) locationGet directions
Mailing address
112 Magnolia St
Beavercreek, OH 45440-1370
Registry dates
- Enumerated
- 2013-08-27
- Last updated
- 2013-08-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.