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Custom Orthotics & Prosthetics
Prosthetic/Orthotic Supplier in Kingsport, Tennessee
NPI 1528167509

Custom Orthotics & Prosthetics is a Prosthetic/Orthotic Supplier based in Kingsport, TN. Custom Orthotics & Prosthetics practices in Kingsport, TN. The NPI Number for Custom Orthotics & Prosthetics is 1528167509 and holds a License No. BOCO 15072 (Tennessee).

The current practice location address for Custom Orthotics & Prosthetics is 1567 North Eastman Rd, Kingsport, TN and can be reached out via phone at 423-247-0032 and via fax at 423-247-0038.

Location: 1567 North Eastman Rd, Kingsport, TN, 37664-2680
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1528167509
Provider Name
Custom Orthotics & Prosthetics
Credential
Provider Entity Type
Organization
Address
1567 North Eastman Rd, Kingsport, TN, 37664-2680
Phone Number
423-247-0032
Fax Number
423-247-0038
Provider Enumeration Date
09/22/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1567 North Eastman Rd
City
Kingsport
State
Tennessee
Zip
37664-2680
Phone Number
423-247-0032
Fax Number
423-247-0038
person
Provider Business Mailing Address Details
Address
1567 North Eastman Rd
City
Kingsport
State
Tennessee
Zip
37664-2680
Phone Number
423-247-0032
Fax Number
423-247-0038
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
BOCO 15072 (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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