| NPI | 1003088568 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAUREN VAUGHN Practice Manager 615-890-2160 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Additional Taxonomies | 222Z00000X Orthotist |
| 224P00000X Prosthetist | |
| Enumeration Date | 2008-03-25 |
| Last Update Date | 2021-05-05 |