Mitzi Nikkole is a Prosthetic/Orthotic Supplier based in Hickman, TN. Mitzi Nikkole practices in Martin, TN. The NPI Number for Mitzi Nikkole is 1134795669 and holds a License No. (Tennessee).
The current practice location address for Mitzi Nikkole is 509 Elm St, Martin, TN and can be reached out via phone at 270-627-1247.
Location: 509 Elm St, Martin, TN, 42050-0013
Provider Profile Details
NPI Number
1134795669
Provider Name
Mitzi Nikkole
Credential
Provider Entity Type
Organization
Address
509 Elm St, Martin, TN, 42050-0013
Phone Number
270-627-1247
Fax Number
Provider Enumeration Date
06/03/2021
Last Update Date
03/10/2024
Provider Business Practice Location Address Details
Address
509 Elm St
City
State
Zip
38237-3407
Phone Number
270-627-1247
Fax Number
Provider Business Mailing Address Details
Address
509 Elm St
City
State
Zip
38237-3407
Phone Number
270-627-1247
Fax Number
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
License No.
()
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.
Badge
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