| NPI | 1124039151 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MISTY DAWN BRACKINS Vice President Office Manager 865-774-9959 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2020-08-22 |