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Footheals Prosthetics And Orthotics, Inc.
Prosthetic/Orthotic Supplier in Johnson City, Tennessee
NPI 1124101373

Footheals Prosthetics And Orthotics, Inc. is a Prosthetic/Orthotic Supplier based in Johnson City, TN. Footheals Prosthetics And Orthotics, Inc. practices in Johnson City, TN. The NPI Number for Footheals Prosthetics And Orthotics, Inc. is 1124101373 and holds a License No. (Tennessee).

The current practice location address for Footheals Prosthetics And Orthotics, Inc. is 2406 Susannah St, Johnson City, TN and can be reached out via phone at 423-975-5462 and via fax at 423-975-5463.

Location: 2406 Susannah St, Johnson City, TN, 37601-1725
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1124101373
Provider Name
Footheals Prosthetics And Orthotics, Inc.
Credential
Provider Entity Type
Organization
Address
2406 Susannah St, Johnson City, TN, 37601-1725
Phone Number
423-975-5462
Fax Number
423-975-5463
Provider Enumeration Date
10/23/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4145147 01 TN BCBS OF TN
1455141 05 TN
institution
Provider Business Practice Location Address Details
Address
2406 Susannah St
City
Johnson City
State
Tennessee
Zip
37601-1725
Phone Number
423-975-5462
Fax Number
423-975-5463
person
Provider Business Mailing Address Details
Address
2406 Susannah St
City
Johnson City
State
Tennessee
Zip
37601-1725
Phone Number
423-975-5462
Fax Number
423-975-5463
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
(Tennessee)
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 function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
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