| NPI | 1578798567 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSHUA C GRAYBEAL Cp 423-968-4442 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: TN PRO0000000023) |
| Enumeration Date | 2009-05-20 |
| Last Update Date | 2010-04-08 |