| Name | Value |
|---|---|
| PROVIDER TYPE | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| CLASSIFICATION | Mastectomy Fitter |
| DEFINITION | An individual trained in the fitting and adjusting of breast prostheses and management of post-mastectomy prostheses services. |
| STATUS | Active |
| VA CODE | V130216 |
| X12 CODE | 224900000X |
| INDIVIDUAL/NON | INDIVIDUAL |
| MASTER ENTRY FOR VUID | YES |
| VUID | 5255078 |
| EFFECTIVE DATE/TIME |
|