| NPI | 1215134986 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH T HUNTSMAN Owner 423-307-1890 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: TN 936) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TN 936) |
| Enumeration Date | 2007-06-27 |
| Last Update Date | 2023-05-15 |