NPI 1295233369

Christian Zach Smith, CPO

Practitioner Prosthetist Johnson City, TN

Practice location

Address: 2333 Knob Creek Rd STE 14, Johnson City, TN 37604-2007
Phone: (423) 461-3320
Fax: (423) 461-3314

Registered specialties (2)

Prosthetist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224P00000X

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Orthotist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 222Z00000X

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Registry record

NPI: 1295233369
Entity type: Individual
Sex (as registered): Male
NPI issued: 24 Jan 2018
Record last updated: 17 Mar 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.