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Markeisha Laquita Wardell
Prosthetic/Orthotic Supplier in Clarksville, Tennessee
NPI 1649898818

Markeisha Laquita Wardell is a Prosthetic/Orthotic Supplier based in Clarksville, TN. Markeisha Laquita Wardell practices in Clarksville, TN. The NPI Number for Markeisha Laquita Wardell is 1649898818 and holds a License No. 0107051558 (Tennessee).

The current practice location address for Markeisha Laquita Wardell is 1502 Tiny Town Rd, Clarksville, TN and can be reached out via phone at 931-645-4270. You can also correspond with Markeisha Laquita Wardell through the mailing address at 3684 AURORA DR, CLARKSVILLE, TN - 37040-2553 (mailing address contact number: 931-591-8501).

Location: 1502 Tiny Town Rd, Clarksville, TN, 37040-2553
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1649898818
Provider Name
Markeisha Laquita Wardell
Credential
Provider Entity Type
Individual
Gender
Female
Address
1502 Tiny Town Rd, Clarksville, TN, 37040-2553
Phone Number
931-645-4270
Fax Number
Provider Enumeration Date
07/13/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1502 Tiny Town Rd
City
Clarksville
State
Tennessee
Zip
37042-8087
Phone Number
931-645-4270
Fax Number
person
Provider Business Mailing Address Details
Address
3684 Aurora Dr
City
Clarksville
State
Tennessee
Zip
37040-2553
Phone Number
931-591-8501
Fax Number
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
0107051558 (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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