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Custom Healthcare, Llc
Prosthetic/Orthotic Supplier in Knoxville, Tennessee
NPI 1538437215

Custom Healthcare, Llc is a Prosthetic/Orthotic Supplier based in Chattanooga, TN. Custom Healthcare, Llc practices in Knoxville, TN. The NPI Number for Custom Healthcare, Llc is 1538437215 and holds a License No. (Tennessee).

The current practice location address for Custom Healthcare, Llc is 201 Center Park Dr Ste 1000, Knoxville, TN and can be reached out via phone at 865-966-4452 and via fax at 865-966-4457. You can also correspond with Custom Healthcare, Llc through the mailing address at 3700 BRAINERD RD, CHATTANOOGA, TN - 37411-3603 (mailing address contact number: 423-697-0057).

Location: 201 Center Park Dr Ste 1000, Knoxville, TN, 37411-3603
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1538437215
Provider Name
Custom Healthcare, Llc
Credential
Provider Entity Type
Organization
Address
201 Center Park Dr Ste 1000, Knoxville, TN, 37411-3603
Phone Number
865-966-4452
Fax Number
865-966-4457
Provider Enumeration Date
12/08/2011
Last Update Date
03/12/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
1455062 05 TN
institution
Provider Business Practice Location Address Details
Address
201 Center Park Dr Ste 1000
City
Knoxville
State
Tennessee
Zip
37922-2105
Phone Number
865-966-4452
Fax Number
865-966-4457
person
Provider Business Mailing Address Details
Address
3700 Brainerd Rd
City
Chattanooga
State
Tennessee
Zip
37411-3603
Phone Number
423-697-0057
Fax Number
423-648-9366
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
()
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Customized Equipment
Taxonomy
332BC3200X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
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.
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