Betty'S Boutique
Prosthetic/Orthotic Supplier in Knoxville, TN. Organization (NPI-2).
NPI number1770760654
StatusActive
Last updated in NPPESFeb 8, 2008
Details
- NPI
- 1770760654
- Entity type
- Organization (NPI-2)
- Legal business name
- Betty'S Boutique
- Organization subpart
- No
- Enumeration date
- Jan 23, 2008
- Last updated
- Feb 8, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 335E00000X | Prosthetic/Orthotic Supplier | – | – | Yes |
Practice location
414 Overhill RdKnoxville, TN 37914-4328
Phone 865-525-7412 · Fax 865-525-7412
Mailing address
414 Overhill RdKnoxville, TN 37914-4328
Phone 865-525-7412 · Fax 865-525-7412
Authorized official
Betty Sherrod
Owner
8655257412
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