| NPI | 1265420616 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AARON KRATOHVIL Controller 615-550-8760 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2005-10-10 |
| Last Update Date | 2017-10-10 |