OrganizationActive
Innovative Prosthetic Designs,llc
NPI 1881075950 · Prosthetic/Orthotic Supplier · Columbus, MS
Provider details
- NPI number
- 1881075950
- Entity type
- Organization
- Primary specialty
- Prosthetic/Orthotic SupplierSuppliers
- Authorized official
- John Ungaro, President
Practice location
523 Lincoln Rd
Columbus, MS 39705-2225
Phone: (662) 240-9700
Fax: (662) 240-9928
Mailing address
Po Box 689
Amory, MS 38821-0689
Registry dates
- Enumerated
- 2015-06-15
- Last updated
- 2015-06-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.