Provider Demographics
NPI:1962890335
Name:A BETTER FIT
Entity type:Organization
Organization Name:A BETTER FIT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/FITTER
Authorized Official - Prefix:
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:WARNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:509-628-4819
Mailing Address - Street 1:2417 W KENNEWICK AVE
Mailing Address - Street 2:
Mailing Address - City:KENNEWICK
Mailing Address - State:WA
Mailing Address - Zip Code:99336-3128
Mailing Address - Country:US
Mailing Address - Phone:509-628-4819
Mailing Address - Fax:509-931-8889
Practice Address - Street 1:2417 W KENNEWICK AVE
Practice Address - Street 2:
Practice Address - City:KENNEWICK
Practice Address - State:WA
Practice Address - Zip Code:99336-3128
Practice Address - Country:US
Practice Address - Phone:509-628-4819
Practice Address - Fax:509-931-8889
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-07
Last Update Date:2015-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier