NPI 1861664047
Victory Orthotics & Prosthetics LLC
Practice location
- Address
- 324 Steeles Rd, Bristol, TN 37620
- Phone
- (423) 323-1927
- Mailing address
- 102 Woodmont Blvd STE 120, Nashville, TN 37205-5249
Authorised official
- Name
- Brad Gardner
- Title
- Coo
- Phone
- (615) 864-8790
Registered specialties
Prosthetic/Orthotic Supplier
Primary
Registry record
- NPI
- 1861664047
- Entity type
- Organization
- NPI issued
- 28 Mar 2008
- Record last updated
- 3 Oct 2018
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.