NPI 1013900729

Jaffe Shoe Stores, INC.

Organisation Prosthetic/Orthotic Supplier Chattanooga, TN

Practice location

Address: 5726 Marlin Rd Suite 512, Chattanooga, TN 37411-4008
Phone: (423) 892-3366
Fax: (423) 892-3337
Mailing address: PO Box 80024, Chattanooga, TN 37414-7024

Authorised official

Name: Sonny Sanders
Title: President/Certiied Pedorthist
Phone: (423) 892-3366

Registered specialties

Prosthetic/Orthotic Supplier Primary

Suppliers Taxonomy 335E00000X Licence NO STATE LICENSURE

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Registry record

NPI: 1013900729
Entity type: Organization
NPI issued: 27 Aug 2005
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.