| NPI | 1225311996 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN H TANNER Owner 901-417-6060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2011-09-20 |
| Last Update Date | 2023-11-02 |