TANISHA GODBOLT NPI 1740871755

NPI Information

Tanisha Godbolt is a prosthetic orthotic supplier in Charlotte, NC. The provider is 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. Tanisha Godbolt NPI is 1740871755. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

9147 MOSS COVE CT
CHARLOTTE, NC
ZIP 28227-703
Phone: (832) 794-7264

The enumeration date for this NPI number is 2/2/2021 and was last updated on 5/19/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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