Provider Demographics
NPI:1932060100
Name:ARCTIC BRACING LLC
Entity type:Organization
Organization Name:ARCTIC BRACING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JEFF
Authorized Official - Middle Name:DEAN
Authorized Official - Last Name:KING
Authorized Official - Suffix:
Authorized Official - Credentials:ROT
Authorized Official - Phone:469-500-7747
Mailing Address - Street 1:1309 MOTLEY DR
Mailing Address - Street 2:
Mailing Address - City:MELISSA
Mailing Address - State:TX
Mailing Address - Zip Code:75454-0355
Mailing Address - Country:US
Mailing Address - Phone:469-500-7747
Mailing Address - Fax:
Practice Address - Street 1:488 HIGHVIEW LN # 501
Practice Address - Street 2:
Practice Address - City:ANNA
Practice Address - State:TX
Practice Address - Zip Code:75409-4238
Practice Address - Country:US
Practice Address - Phone:469-500-7747
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-11-18
Last Update Date:2025-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies