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Rocky J Goodall, BOCP/L
Prosthetic/Orthotic Supplier in Hendersonville, Tennessee
NPI 1861666596

Rocky J Goodall is a Prosthetic/Orthotic Supplier based in Goodlettsville, TN. Rocky J Goodall practices in Hendersonville, TN and has the professional credentials of BOCP/L. The NPI Number for Rocky J Goodall is 1861666596 and holds a License No. C36377 (Tennessee).

The current practice location address for Rocky J Goodall is 114 Powell Dr, Hendersonville, TN and can be reached out via phone at 615-340-0068 and via fax at 615-340-0028. You can also correspond with Rocky J Goodall through the mailing address at 6017 LICKTON PIKE, GOODLETTSVILLE, TN - 37072-9146 (mailing address contact number: 615-772-1880).

Location: 114 Powell Dr, Hendersonville, TN, 37072-9146
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1861666596
Provider Name
Rocky J Goodall
Credential
BOCP/L
Provider Entity Type
Individual
Gender
Male
Address
114 Powell Dr, Hendersonville, TN, 37072-9146
Phone Number
615-340-0068
Fax Number
615-340-0028
Provider Enumeration Date
04/14/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
114 Powell Dr
City
Hendersonville
State
Tennessee
Zip
37075-3527
Phone Number
615-340-0068
Fax Number
615-340-0028
person
Provider Business Mailing Address Details
Address
6017 Lickton Pike
City
Goodlettsville
State
Tennessee
Zip
37072-9146
Phone Number
615-772-1880
Fax Number
615-340-0028
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
C36377 (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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