Fantasia Together Hair Designers Inc

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

License

335E00000X Issued in MN

Legal business name

FANTASIA TOGETHER HAIR DESIGNERS INC

Practice address

2756 Douglas Dr N
Crystal, MN 55422-2402

Phone

(763) 544-9126

Fax

(763) 544-2026

NPI assigned

Jun 24, 2009

Organization subpart

No

Name

Ms. Twila M Donley

Title

Owner

Phone

(763) 544-9126

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 24, 2009.

{
    "created_epoch": "1245801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245801600000",
    "number": "1295963676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2756 DOUGLAS DR N",
            "city": "CRYSTAL",
            "state": "MN",
            "postal_code": "554222402",
            "telephone_number": "763-544-9126",
            "fax_number": "763-544-2026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2756 DOUGLAS DR N",
            "city": "CRYSTAL",
            "state": "MN",
            "postal_code": "554222402",
            "telephone_number": "763-544-9126",
            "fax_number": "763-544-2026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FANTASIA TOGETHER HAIR DESIGNERS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-24",
        "last_updated": "2009-06-24",
        "status": "A",
        "authorized_official_last_name": "DONLEY",
        "authorized_official_first_name": "TWILA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "763-544-9126",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "MN",
            "license": "335E00000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Crystal, MN
• Prosthetic/Orthotic Supplier in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.