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

Radiance Renewed

Organization Prosthetic/Orthotic Supplier · NPI 1154941557

Radiance Renewed is a Prosthetic/Orthotic Supplier in Highland, Indiana. Registered with an NPI since 2020.

In the registry since
2020

Practice location Address checks out

9445 Indianapolis Blvd Ste 1042
Highland, IN 46322-2648
Phone: (219) 689-9104
Fax: (985) 251-2701
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Prosthetic/Orthotic Supplier (primary) Taxonomy 335E00000X

Record details

NPI number1154941557
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tatanisha Wright — Owner · (219) 689-9104
NPI enumeratedApril 26, 2020
Last updated in NPPESApril 26, 2020
Certification dateApril 26, 2020
Mailing address9445 Indianapolis Blvd Ste 1042, Highland, IN 46322-2648

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