| NPI | 1336653443 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLEY MARSHAE HILL Owner 901-496-6726 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment |
| Enumeration Date | 2017-11-28 |
| Last Update Date | 2017-11-28 |