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Mr. Earl Robertson, CP,LPO
Prosthetist in Memphis, Tennessee
NPI 1629502968

Earl Robertson is a Prosthetist based in Memphis, TN. Earl Robertson practices in Memphis, TN and has the professional credentials of CP,LPO. The NPI Number for Earl Robertson is 1629502968 and holds a License No. LO 58 (Tennessee).

The current practice location address for Earl Robertson is 722 N White Station Rd, Memphis, TN and can be reached out via phone at 901-763-6999 and via fax at 901-682-9062.

Location: 722 N White Station Rd, Memphis, TN, 38122-4422
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1629502968
Provider Name
Earl Robertson
Credential
CP,LPO
Provider Entity Type
Individual
Gender
Male
Address
722 N White Station Rd, Memphis, TN, 38122-4422
Phone Number
901-763-6999
Fax Number
901-682-9062
Provider Enumeration Date
04/13/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
CP 1357 01 ABC
institution
Provider Business Practice Location Address Details
Address
722 N White Station Rd
City
Memphis
State
Tennessee
Zip
38122-4422
Phone Number
901-763-6999
Fax Number
901-682-9062
person
Provider Business Mailing Address Details
Address
722 N White Station Rd
City
Memphis
State
Tennessee
Zip
38122-4422
Phone Number
901-763-6999
Fax Number
901-682-9062
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Orthotist
Speciality
-
Taxonomy
222Z00000X
License No.
LP 49 (Tennessee)
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.
LO 58 (Tennessee)
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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