Provider Demographics
NPI:1578385175
Name:MYNDTEK LTD
Entity type:Organization
Organization Name:MYNDTEK LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:ROBERT
Authorized Official - Last Name:FORSHEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:605-799-7468
Mailing Address - Street 1:6301 S CONNIE AVE APT 307
Mailing Address - Street 2:
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57108-5732
Mailing Address - Country:US
Mailing Address - Phone:605-799-7468
Mailing Address - Fax:
Practice Address - Street 1:6301 S CONNIE AVE APT 307
Practice Address - Street 2:
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57108-5732
Practice Address - Country:US
Practice Address - Phone:605-799-7468
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-26
Last Update Date:2024-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment