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

Sole Source LLC Your Diabetic Shoe Store

Organization Prosthetic/Orthotic Supplier · NPI 1063778884

Sole Source LLC Your Diabetic Shoe Store is a Prosthetic/Orthotic Supplier in Ypsilanti, Michigan. Registered with an NPI since 2012.

In the registry since
2012
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

50 N Huron St
Ypsilanti, MI 48197-2608
Phone: (734) 340-9614
Fax: (734) 879-2774
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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 number1063778884
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Annette Bottum — Shoe Fitter · (734) 340-9614
NPI enumeratedApril 5, 2012
Last updated in NPPESMay 22, 2012
Mailing address50 N Huron St, Ypsilanti, MI 48197-2608

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