| NPI | 1902993124 |
|---|---|
| Doing Business As | CROCKETT PROSTHETICS & ORTHOTICS |
| Entity Type | Organization |
| Authorized Contact | PETER PAUL KOSLOSKI Owner/President 865-688-2626 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2006-10-09 |
| Last Update Date | 2012-03-20 |