Organization
TENNESSEE LIMB AND BRACE LLC
Active
Parent organization
TENNESSEE LIMB AND BRACE LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
TENNESSEE LIMB AND BRACE LLC
Authorized official
BARRY DEE DAVIDSON CP (OWNER)
(931) 854-9455
Entity
Organization
Contact information
Practice address
41 BIRCHWOOD LANE, CROSSVILLE, TN 38555
(931) 854-9455
Mailing address
735 W. JACKSON ST, COOKEVILLE, TN 38501
(931) 854-9455
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
08/20/2024
Last updated
08/20/2024
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