| NPI | 1992976013 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN D JOHNSON Owner/Prosthetist 865-363-3513 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0900X Clinic/Center, Amputee (Licence: TN PRO0000000113) |
| Enumeration Date | 2008-03-17 |
| Last Update Date | 2008-03-17 |