FOOTHEALS PROSTHETICS AND ORTHOTICS INC. NPI 1124101373

NPI Information

FOOTHEALS PROSTHETICS AND ORTHOTICS, INC. is a prosthetic orthotic supplier in Johnson City, TN. 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. FOOTHEALS PROSTHETICS AND ORTHOTICS, INC. NPI is 1124101373. The provider is registered as an organization entity type.

The provider's business location address is:

2406 SUSANNAH ST
LOWER LEVEL
JOHNSON CITY, TN
ZIP 37601-725
Phone: (423) 975-5462
Fax: (423) 975-5463

The provider's authorized official is Calvin K Hoyle .
The authorized official title is Prothetist, Orthotist,, Pedorthist and has the following contact phone number (423) 975-5462.

The enumeration date for this NPI number is 10/23/2006 and was last updated on 4/8/2008.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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