Organization
WELLNESS HEALTHCARE PRODUCTS LLC
Active
Other names
Express Footwear
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN S DUNN (OWNER)
(888) 901-2101
Entity
Organization
Contact information
Practice address
1430 INTERSTATE DR, COOKEVILLE, TN 38501-4123
(888) 901-2101
Mailing address
1430 INTERSTATE DR, COOKEVILLE, TN 38501-4123
(888) 901-2101
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3109006
—
TN
05
—
7100227060
—
KY
Enumeration date
07/12/2005
Last updated
06/27/2014
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