Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Minkd Out Extensions

Organization Prosthetic/Orthotic Supplier · NPI 1194478404

Minkd Out Extensions is a Prosthetic/Orthotic Supplier in Atlanta, Georgia. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

6595 Roswell Rd Ste G-5971
Atlanta, GA 30328-3152
Phone: (301) 613-4411
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Prosthetic/Orthotic Supplier (primary) Taxonomy 335E00000X

Record details

NPI number1194478404
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official India Mason — Ceo · (301) 613-4411
NPI enumeratedJanuary 27, 2022
Last updated in NPPESOctober 23, 2022
Certification dateOctober 23, 2022
Mailing address6595 Roswell Rd Ste G-5971, Atlanta, GA 30328-3152

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