NPI 1033399688

Tackle Management Corporation

Organisation Foot & Ankle Surgery Podiatrist Manassas, VA

Practice location

Address: 8637 Mathis Ave, Manassas, VA 20110-5270
Phone: (703) 335-6890

Authorised official

Name: Theresa Lynn Coates
Title: Practice Administrator
Phone: (703) 368-1800

Registered specialties

Foot & Ankle Surgery Podiatrist Primary

Podiatric Medicine & Surgery Service Providers Taxonomy 213ES0103X

Other Podiatrist providers in Virginia →

Registry record

NPI: 1033399688
Entity type: Organization
NPI issued: 13 Nov 2007
Record last updated: 13 Nov 2007

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.