NPI 1225679277

Back Brace Supply LLC

Organisation Orthotic Fitter Memphis, TN

Practice location

Address: 670 S White Station Rd, Memphis, TN 38117-4527
Phone: (901) 619-2297

Authorised official

Name: Dana Hunter Paschal
Title: Owner
Phone: (901) 619-2297

Registered specialties

Orthotic Fitter Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225000000X

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Registry record

NPI: 1225679277
Entity type: Organization
NPI issued: 1 Oct 2019
Record last updated: 5 Nov 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.