Russellville Orthotics & Prosthetics

NPI Provider: 1215932801
Contact Name: Farris Lynn Judy
Position: Office Manager
Phone: (931) 648-2155

Russellville Orthotics & Prosthetics Information:

Russellville Orthotics & Prosthetics organization have npi 1215932801, taxonomy code is 1744P3200X with license number is 2490 in . This Business address located in 1816 Memorial Cir, Clarksville, TN 37043 Tennessee.

Practice Location
Address: 230 S Franklin St, Russellville, KY 42276
Phone: (270) 726-1200

Business Location
Address: 1816 Memorial Cir, Clarksville, TN 37043
Phone: (931) 648-2155
Fax: (931) 647-4952

Taxonomy

Taxonomy Code: 1744P3200X

License Number: 2490

License Number of State: NV

Primary Taxonomy Switch: Y

Enumeration Date: 6/20/2005

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