Custom Orthotics & Prosthetics in Kingsport - Prosthetic/orthotic Supplier
Custom Orthotics & Prosthetics - NPI 1528167509
Custom Orthotics & Prosthetics is a Prosthetic/orthotic Supplier in Kingsport, Tennessee. Custom Orthotics & Prosthetics practices all healthcare services and medical treatments related to Prosthetic/orthotic Supplier. The NPI Number for Custom Orthotics & Prosthetics is 1528167509. The last update date is 2011-10-05.
Custom Orthotics & Prosthetics's current location address is 1567 North Eastman Rd, Kingsport, Tennessee. You can contact this provider via phone number 4232470032 and fax number 4232470038. The mailing address for Custom Orthotics & Prosthetics is 1567 North Eastman Rd, Kingsport, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Custom Orthotics & Prosthetics |
|---|---|
| Address | 1567 North Eastman Rd, Kingsport, Tennessee |
| Phone Number | 4232470032 |
| Fax Number | 4232470038 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Joyce D. Jason |
| Telephone Number | 4232470032 |
NPI Number Detail
| NPI Number | 1528167509 |
|---|---|
| Provider Enumeration Date | 2006-09-22 |
| Last Updated Date | 2011-10-05 |
Provider Mailing Address Detail
| Address | 1567 North Eastman Rd |
|---|---|
| City | Kingsport |
| State | Tennessee (TN) |
| Post Code | 376642680 |
| Phone Number | 4232470032 |
| Fax Number | 4232470038 |
Provider's Primary Taxonomy Detail
| Speciality | Prosthetic/orthotic Supplier |
|---|---|
| Taxonomy | 335E00000X |
| Licence No | BOCO 15072 |
|
Definition: An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological f |
|
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Custom Orthotics & Prosthetics by the Centers for Medicare & Medicaid Services?
The Custom Orthotics & Prosthetics has been issued the NPI (National Provider Identifier) 1528167509, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Custom Orthotics & Prosthetics's physical address?
The Custom Orthotics & Prosthetics is physically located at 1567 North Eastman Rd, in the city of Kingsport, TN, with the postal code 376642680.
What is Custom Orthotics & Prosthetics's area of expertise and its corresponding taxonomy classification?
The Custom Orthotics & Prosthetics's field of specialization is Prosthetic/orthotic Supplier, and it falls under the taxonomy code 335E00000X, which categorizes healthcare providers based on their areas of practice.
On what date was the 1528167509 assigned to Custom Orthotics & Prosthetics?
The Custom Orthotics & Prosthetics was issued its 1528167509 on 2006-09-22, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Custom Orthotics & Prosthetics's details last updated?
The information pertaining to the Custom Orthotics & Prosthetics, including its address, specialty, and other details, was most recently updated on 2011-10-05.