Organization · NPI-2

Footheals Prosthetics And Orthotics, INC.

Prosthetic/Orthotic Supplier · Johnson City, TN

NPI number1124101373
StatusActive
Last updated in NPPESApr 8, 2008

Details

NPI
1124101373
Entity type
Organization (NPI-2)
Legal business name
Footheals Prosthetics And Orthotics, INC.
Organization subpart
No
Enumeration date
Oct 23, 2006
Last updated
Apr 8, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
335E00000X Prosthetic/Orthotic Supplier–TNYes

Practice location

2406 Susannah St
Lower Level
Johnson City, TN 37601-1725

Phone 423-975-5462 · Fax 423-975-5463

Mailing address

2406 Susannah St
Lower Level
Johnson City, TN 37601-1725

Phone 423-975-5462 · Fax 423-975-5463

Authorized official

Calvin K Hoyle
Prothetist, Orthotist,, Pedorthist
4239755462

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