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Matthew D Stimson, CPED,CPOA,CFO
Pedorthist in La Follette, Tennessee
NPI 1942780580

Matthew D Stimson is a Pedorthist based in Knoxville, TN. Matthew D Stimson practices in La Follette, TN and has the professional credentials of CPED,CPOA,CFO. The NPI Number for Matthew D Stimson is 1942780580 and holds a License No. CFO03775 (Tennessee).

The current practice location address for Matthew D Stimson is 2435 Jacksboro Pike Ste 3, La Follette, TN and can be reached out via phone at 423-449-8135.

Location: 2435 Jacksboro Pike Ste 3, La Follette, TN, 37931-4552
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1942780580
Provider Name
Matthew D Stimson
Credential
CPED,CPOA,CFO
Provider Entity Type
Individual
Gender
Male
Address
2435 Jacksboro Pike Ste 3, La Follette, TN, 37931-4552
Phone Number
423-449-8135
Fax Number
Provider Enumeration Date
08/14/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2435 Jacksboro Pike Ste 3
City
La Follette
State
Tennessee
Zip
37766-2912
Phone Number
423-449-8135
Fax Number
person
Provider Business Mailing Address Details
Address
2435 Jacksboro Pike Ste 3
City
La Follette
State
Tennessee
Zip
37766-2912
Phone Number
423-449-8135
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Pedorthist
Speciality
-
Taxonomy
224L00000X
License No.
PED109 (Tennessee)
Definition
An individual who is trained in the management and treatment of conditions of the foot, ankle, and lower extremities requiring fitting, fabricating, and adjusting of pedorthic devices.
person
Provider's Taxonomy Details 2
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Orthotic Fitter
Speciality
-
Taxonomy
225000000X
License No.
CFO03775 (Tennessee)
Definition
An individual trained in the management of fitting prefabricated orthoses.
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