NPI | 1467168047 |
---|---|
Entity Type | Organization |
Authorized Contact | JOSEPH T. HUNTSMAN Owner 423-307-1890 |
Organization Subpart ? | No |
Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
Enumeration Date | 2023-01-26 |
Last Update Date | 2024-10-01 |