Organization
LIVE LIFE MEDICAL & ORTHOTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRETT BOTTOMS (OWNER)
(931) 260-2842
Entity
Organization
Contact information
Practice address
229 E BROAD ST, COOKEVILLE, TN 38501-3365
(931) 260-2842
Mailing address
229 E BROAD ST, COOKEVILLE, TN 38501-3365
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
12/20/2011
Last updated
12/20/2011
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