P Praxis·MD
● Active Type 2 · Organization

A Beautiful You Mastectomy Boutique

Prosthetic/Orthotic Supplier·Caldwell, ID· NPI 1558760611 · Enumerated 2014 · 11 years on NPI
A Beautiful You Mastectomy Boutique is 1 of 48 prosthetic/orthotic supplier organizations in Idaho.
NPI age
11 years
Enumerated 2014-08-14
Primary specialty
Prosthetic/Orthotic Supplier
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Kovick
Owner/operator
Last NPPES update
2014-11-12
Source: monthly bulk 2026-05

How this organization compares

Across 48 active prosthetic/orthotic supplier providers in Idaho.

NPI age
11 years
↓ 4 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2014 → 2026

2014-08Enumerated in NPPES
2014 2026

Where they practice

Primary practice location
2006 Blaine St
Caldwell, ID 836054343
📞 2089855404
Mailing address
2006 Blaine St
Caldwell, ID 836054343
📞 2089855404

Authorized official

Leanne M Kovick, CFM
Owner/operator
📞 2089855404

Individual providers at this organization

3 individual providers on file at this primary practice address.

Specialties

  • Prosthetic/Orthotic Supplier Primary
    An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring...
    ID license #CFM02746 taxonomy 335E00000X

Other names on file (1)

Doing-business-as, former, and alternate names recorded by NPPES.

  • A Beautiful You Mastectomy Boutique
    Type code 3 recorded 2014-08-14

Practice context

Multi-provider organization. 3 individual providers on file at this primary address.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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