| NPI | 1417081241 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AARON KRATOHVIL Controller 615-550-8760 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: TX 101109) |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2017-10-11 |