NPI 1689963522

Christy Muecke, PEDORTHIST

Practitioner Pedorthist Knoxville, TN

Practice location

Address: 201 Center Park Dr STE 100, Knoxville, TN 37922-2105
Phone: (865) 966-4452
Fax: (865) 966-4457
Mailing address: 3700 Brainerd Rd, Chattanooga, TN 37411-3603

Registered specialties

Pedorthist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224L00000X Licence 81 (TN)

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Registry record

NPI: 1689963522
Entity type: Individual
Sex (as registered): Female
NPI issued: 31 Mar 2011
Record last updated: 31 Mar 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.