NPI 1215277728

Mark a Watson, CPO

Practitioner Prosthetist Nashville, TN

Practice location

Address: 1707 State St, Nashville, TN 37203-2929
Phone: (615) 327-2882

Registered specialties (2)

Prosthetist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224P00000X Licence PRO0000000058 (TN)

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Orthotist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 222Z00000X Licence ORT0000000069 (TN)

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Registry record

NPI: 1215277728
Entity type: Individual
Sex (as registered): Male
NPI issued: 20 Feb 2013
Record last updated: 20 Feb 2013

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.