MEDICARE: NATIONAL SEATING & MOBILITY, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332BC3200X	Customized Equipment (DME)

General Provider Information

NPI Number	:	1306325980
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NATIONAL SEATING & MOBILITY, INC

Provider Business Mailing Address
First Line	:	5959 SHALLOWFORD RD STE 443
Second Line	:
City	:	CHATTANOOGA
State	:	TN
Zip	:	37421-2245
Country	:	US
Telephone Number	:	423-756-2268
Fax Number	:

Provider Business Practice Location Address
First Line	:	5914 JET PORT INDUSTRIAL BLVD
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33634-5158
Country	:	US
Telephone Number	:	813-890-8809
Fax Number	:

Authorized Official
Title or Position	:	SECRETARY
Name	:	JEFF MATUKEWICZ
Credential	:
Telephone Number	:	423-756-2268

Provider Enumeration Date	:	08/14/2018
Last Update Date	:	08/14/2018

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