Organization · NPI-2

Crossroads Prosthetics And Orthotics

Prosthetic/Orthotic Supplier · Johnson City, TN

NPI number1376371948
StatusActive
Last updated in NPPESJul 30, 2024

Details

NPI
1376371948
Entity type
Organization (NPI-2)
Legal business name
Crossroads Prosthetics And Orthotics
Organization subpart
No
Enumeration date
Jul 24, 2024
Certification date
Jul 30, 2024
Last updated
Jul 30, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
335E00000X Prosthetic/Orthotic Supplier––Yes

Practice location

3900 Bristol Hwy Ste 8
Johnson City, TN 37601-1391

Phone 423-900-2425 · Fax 423-900-2426

Mailing address

3900 Bristol Hwy Ste 8
Johnson City, TN 37601-1391

Phone 423-656-3987

Authorized official

David Smith
President
4236563987

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