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Mark Wesley Anderson, CPO
Prosthetist in Dyersburg, Tennessee
NPI 1467492660

Mark Wesley Anderson is a Prosthetist based in Dyersburg, TN. Mark Wesley Anderson practices in Dyersburg, TN and has the professional credentials of CPO. The NPI Number for Mark Wesley Anderson is 1467492660 and holds a License No. (Tennessee).

The current practice location address for Mark Wesley Anderson is 1079 Vendall Rd, Dyersburg, TN and can be reached out via phone at 731-286-6006 and via fax at 731-286-5570.

Location: 1079 Vendall Rd, Dyersburg, TN, 38024-8401
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1467492660
Provider Name
Mark Wesley Anderson
Credential
CPO
Provider Entity Type
Individual
Gender
Male
Address
1079 Vendall Rd, Dyersburg, TN, 38024-8401
Phone Number
731-286-6006
Fax Number
731-286-5570
Provider Enumeration Date
06/07/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1454453 05 TN
institution
Provider Business Practice Location Address Details
Address
1079 Vendall Rd
City
Dyersburg
State
Tennessee
Zip
38024-1622
Phone Number
731-286-6006
Fax Number
731-286-5570
person
Provider Business Mailing Address Details
Address
1079 Vendall Rd
City
Dyersburg
State
Tennessee
Zip
38024-1622
Phone Number
731-286-6006
Fax Number
731-286-5570
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Orthotist
Speciality
-
Taxonomy
222Z00000X
License No.
()
Definition
A health care professional who is specifically educated and trained to manage comprehensive orthotic patient care, including musculoskeletal and neuromuscular anomalies resulting from injuries or disease processes involving the lower extremity, upper extremity or spinal segment/s and positional deformation of the cranium. Orthotists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.
person
Provider's Taxonomy Details 2
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Prosthetist
Speciality
-
Taxonomy
224P00000X
License No.
()
Definition
A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.
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