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NPI Code Detail

MEDICARE: ACHIEVE BRACING

MEDICARE: ACHIEVE BRACING
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
1335E00000XProsthetic/Orthotic Supplier

General Provider Information

NPI Number : 1023368180
Entity Type Code : Organization
Provider Name (Legal Business Name) : ACHIEVE BRACING
Provider Business Mailing Address
First Line : 1732 N EASTMAN RD STE 1A
Second Line :
City : KINGSPORT
State : TN
Zip : 37664-2376
Country : US
Telephone Number : 423-765-1611
Fax Number : 423-765-1612
Provider Business Practice Location Address
First Line : 1732 N EASTMAN RD STE 1A
Second Line :
City : KINGSPORT
State : TN
Zip : 37664-2376
Country : US
Telephone Number : 423-765-1611
Fax Number : 423-765-1612
Authorized Official
Title or Position : PRESIDENT
Name : MR. JODY ERIC MUSICK
Credential : PT
Telephone Number : 423-534-0692
Provider Enumeration Date : 09/17/2012
Last Update Date : 09/17/2012

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Directions to “ACHIEVE BRACING ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.