| NPI | 1396556114 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON L HAYDEN Director Of Clinical Operations 865-484-4134 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Additional Taxonomies | 224P00000X Prosthetist |
| Enumeration Date | 2025-01-20 |
| Last Update Date | 2025-07-21 |