| NPI | 1902264781 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACEY M HANDEL Owner/President 865-671-1996 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: TN 00024970) |
| Enumeration Date | 2016-02-08 |
| Last Update Date | 2017-01-23 |