Healthcare Provider Details

I. General information

NPI: 1942849914
Provider Name (Legal Business Name): AMERICAN BRACE & LIMB ENTERPRISE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/23/2019
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9333 PARKWEST BLVD. 103
KNOXVILLE TN
37923
US

IV. Provider business mailing address

PO BOX 3264
MORRISTOWN TN
37815-3264
US

V. Phone/Fax

Practice location:
  • Phone: 423-318-8824
  • Fax: 423-318-2872
Mailing address:
  • Phone: 423-318-8824
  • Fax: 423-318-2872

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number State

VIII. Authorized Official

Name: MR. JERRY DAVID HINTON
Title or Position: PRESIDENT
Credential: BOCO,BOCP,LPED,LPO
Phone: 423-318-8824