Victory Orthotics & Prosthetics Llc is a Prosthetic & Orthotic Supplier (Prosthetic & Orthotic Supplier) in Johnson City, Tennessee. It is situated at 2333 Knob Creek Rd Ste 14, Johnson City and its contact number is 423-461-3320. The authorized person of Victory Orthotics & Prosthetics Llc is Mr. Brad Gardner
who is Coo of the store and his/her contact number is 615-864-8790. Victory Orthotics & Prosthetics Llc 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.
Complete Center Profile:
Victory Orthotics & Prosthetics Llc Center speciality, address, contact phone number and fax are as below.
Patients can directly walkin to the Prosthetic/Orthotic center or can call on the below given phone number for appointment.
2333 Knob Creek Rd Ste 14, Johnson City, Tennessee, 37604
Phone:
423-461-3320
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this store are as below. Person's position and contact details are also mentioned below.
Name:
Mr. Brad Gardner
Position:
Coo
Contact Number:
615-864-8790
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Victory Orthotics & Prosthetics Llc center are as mentioned below.
NPI Number:
1457443624
NPI Enumeration Date:
28 Sep, 2006
NPI Last Update On:
03 Oct, 2018
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Victory Orthotics & Prosthetics Llc are as mentioned below.
Specialization
License Number
State
Status
Primary
Other Medical Identifiers:
Other legacy medical identifiers of the supplier such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
9190601
Medicaid
Virginia
1454184
Medicaid
Tennessee
4017529
Other
Tennessee
Bcbstn
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Patients can reach Victory Orthotics & Prosthetics Llc at 2333 Knob Creek Rd Ste 14, Johnson City, Tennessee or can call to book an appointment on 423-461-3320. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.
Comments/ Reviews:
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