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

Individual provider Prosthetic/Orthotic Supplier · NPI 1386412641

Theresa Withers, PROSTHETICS is a Prosthetic/Orthotic Supplier in Detroit, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2023
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Practice location Address checks out

11779 Maiden St
Detroit, MI 48213-1605
Phone: (586) 900-1707
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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 (MI)

Record details

NPI number1386412641
Entity typeIndividual (Type 1)
GenderFemale
Credentials PROSTHETICS
Sole proprietorYes
NPI enumeratedDecember 18, 2023
Last updated in NPPESDecember 18, 2023
Certification dateDecember 16, 2023

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