MATTHEW D STIMSON

LA FOLLETTE, TN
NPI1942780580
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy224L00000X 
(Licence: TN  PED109)
Additional Taxonomies225000000X Orthotic Fitter
(Licence: TN  CFO03775)
Enumeration Date2018-08-14
Last Update Date2018-08-14
Business Address
MATTHEW D STIMSON CPED, CPOA, CFO
2435 JACKSBORO PIKE STE 3
LA FOLLETTE, TN 37766-2912
Phone number: 423-449-8135
Mailing Address
MATTHEW D STIMSON CPED, CPOA, CFO
1708 CLAIRE STEVENS CIR
KNOXVILLE, TN 37931-4552
Phone number: 865-256-6288