| NPI | 1851763130 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MCKENZIE WAMPLER Owner/Clinician 865-405-9133 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2015-10-26 |
| Last Update Date | 2015-10-26 |