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Freddie Laredia Mitchell
Prosthetic/Orthotic Supplier in Jackson, Tennessee
NPI 1972382505

Freddie Laredia Mitchell is a Prosthetic/Orthotic Supplier based in Jackson, TN. Freddie Laredia Mitchell practices in Jackson, TN. The NPI Number for Freddie Laredia Mitchell is 1972382505 and holds a License No. (Tennessee).

The current practice location address for Freddie Laredia Mitchell is 26 Brentshire Sq Ste R, Jackson, TN and can be reached out via phone at 731-343-5313.

Location: 26 Brentshire Sq Ste R, Jackson, TN, 38305-4643
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1972382505
Provider Name
Freddie Laredia Mitchell
Credential
Provider Entity Type
Individual
Gender
Female
Address
26 Brentshire Sq Ste R, Jackson, TN, 38305-4643
Phone Number
731-343-5313
Fax Number
Provider Enumeration Date
09/25/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
26 Brentshire Sq Ste R
City
Jackson
State
Tennessee
Zip
38305-2265
Phone Number
731-343-5313
Fax Number
person
Provider Business Mailing Address Details
Address
26 Brentshire Sq Ste R
City
Jackson
State
Tennessee
Zip
38305-2265
Phone Number
731-343-5313
Fax Number
person
Provider's Taxonomy Details 1
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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