Provider Demographics
NPI:1073742128
Name:SIZE AND FIT, LLC
Entity Type:Organization
Organization Name:SIZE AND FIT, LLC
Other - Org Name:NEW BALANCE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:GENERAL MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:
Authorized Official - Last Name:WARREN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:316-519-3592
Mailing Address - Street 1:1720 N WEBB RD
Mailing Address - Street 2:SUITE 110
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67206-3417
Mailing Address - Country:US
Mailing Address - Phone:316-440-6899
Mailing Address - Fax:316-440-6897
Practice Address - Street 1:1720 N WEBB RD
Practice Address - Street 2:SUITE 110
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67206-3417
Practice Address - Country:US
Practice Address - Phone:316-440-6899
Practice Address - Fax:316-440-6897
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-10
Last Update Date:2009-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No335E00000XSuppliersProsthetic/Orthotic Supplier