Organization
BETTY'S BOUTIQUE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BETTY SHERROD (OWNER)
(865) 525-7412
Entity
Organization
Contact information
Practice address
414 OVERHILL RD, KNOXVILLE, TN 37914-4328
(865) 525-7412
(865) 525-7412
Mailing address
414 OVERHILL RD, KNOXVILLE, TN 37914-4328
(865) 525-7412
(865) 525-7412
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
01/23/2008
Last updated
02/08/2008
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