Organization
865 PROSTHETICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JASON L HAYDEN CP (DIRECTOR OF CLINICAL OPERATIONS)
(865) 484-4134
Entity
Organization
Contact information
Practice address
5416 S MIDDLEBROOK PIKE STE A, KNOXVILLE, TN 37921-5980
(865) 484-4134
(865) 622-5254
Mailing address
5416 S MIDDLEBROOK PIKE STE A, KNOXVILLE, TN 37921-5980
(865) 484-4134
(865) 622-5254
Taxonomy
Speciality
Code
Description
License number
State
224P00000X
Prosthetist
—
—
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
01/20/2025
Last updated
07/21/2025
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