NPI 1528167509

Custom Orthotics & Prosthetics

Organisation Prosthetic/Orthotic Supplier Kingsport, TN

Practice location

Address: 1567 North Eastman Rd STE 4, Kingsport, TN 37664-2680
Phone: (423) 247-0032
Fax: (423) 247-0038

Authorised official

Name: Jason D. Joyce
Title: President
Phone: (423) 247-0032

Registered specialties

Prosthetic/Orthotic Supplier Primary

Suppliers Taxonomy 335E00000X Licence BOCO 15072 (TN)

Other Prosthetic/Orthotic Supplier providers in Tennessee →

Registry record

NPI: 1528167509
Entity type: Organization
NPI issued: 22 Sep 2006
Record last updated: 5 Oct 2011

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.