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New Life Prosthetics Corporation
Prosthetic/Orthotic Supplier in Graysville, Tennessee
NPI 1427231612

New Life Prosthetics Corporation is a Prosthetic/Orthotic Supplier based in Graysville, TN. New Life Prosthetics Corporation practices in Graysville, TN. The NPI Number for New Life Prosthetics Corporation is 1427231612 and holds a License No. PRO0000000083 (Tennessee).

The current practice location address for New Life Prosthetics Corporation is 87 Nelms Rd, Graysville, TN and can be reached out via phone at 423-949-8620 and via fax at 423-949-9217.

Location: 87 Nelms Rd, Graysville, TN, 37338-4632
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1427231612
Provider Name
New Life Prosthetics Corporation
Credential
Provider Entity Type
Organization
Address
87 Nelms Rd, Graysville, TN, 37338-4632
Phone Number
423-949-8620
Fax Number
423-949-9217
Provider Enumeration Date
12/11/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
TN0100 01 TN AMERICHOICE/TENNCARE
1454290 05 TN
198356168A 05 GA
4067689 01 TN BLUE CROSS BLUE SHIELD TN
institution
Provider Business Practice Location Address Details
Address
87 Nelms Rd
City
Graysville
State
Tennessee
Zip
37338-4632
Phone Number
423-949-8620
Fax Number
423-949-9217
person
Provider Business Mailing Address Details
Address
87 Nelms Rd
City
Graysville
State
Tennessee
Zip
37338-4632
Phone Number
423-949-8620
Fax Number
423-949-9217
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
PRO0000000083 (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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