| NPI | 1043296908 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRADY B FLETCHER Owner/President 615-790-3610 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: TN 102115999) |
| Enumeration Date | 2005-12-21 |
| Last Update Date | 2020-08-22 |