NPI 1942780580

Matthew D Stimson, CPEDCPOACFO

Practitioner Pedorthist La Follette, TN

Practice location

Address: 2435 Jacksboro Pike STE 3, La Follette, TN 37766-2912
Phone: (423) 449-8135
Mailing address: 1708 Claire Stevens Cir, Knoxville, TN 37931-4552

Registered specialties (2)

Pedorthist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224L00000X Licence PED109 (TN)

Other Pedorthist providers in Tennessee →

Orthotic Fitter

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225000000X Licence CFO03775 (TN)

Other Orthotic Fitter providers in Tennessee →

Registry record

NPI: 1942780580
Entity type: Individual
Sex (as registered): Male
NPI issued: 14 Aug 2018
Record last updated: 14 Aug 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.