| NPI | 1265420616 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI E. MARLER Credentialing Mgr. 615-864-8790 |
| 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 | 2025-11-06 |