Organization
SPIRIT PROSTHETICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN D JOHNSON CP, LP (OWNER/PROSTHETIST)
(865) 363-3513
Entity
Organization
Contact information
Practice address
211 E BLOUNT AVE, SUITE 701, KNOXVILLE, TN 37920-1614
(865) 549-4599
(865) 549-4598
Mailing address
4728 TILLERY RD, KNOXVILLE, TN 37912-5400
(865) 363-3513
(865) 549-4598
Taxonomy
Speciality
Code
Description
License number
State
261QA0900X
Amputee Clinic/Center
Primary
PRO0000000113
TN
Other
Enumeration date
03/17/2008
Last updated
03/17/2008
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