Individual provider · Type 1 NPI

Tierra Stephens

Prosthetic/Orthotic Supplier · Ridgeland, MS

NPI number 1053984583 Active

Practice location

720 Harbour Pointe Xing Ste 303
Ridgeland, MS 39157-1152

Mailing address

583 Old Jackson Rd Apt 1315
Canton, MS 39046-0515

Specialties and licenses

TaxonomyCodeLicense
Prosthetic/Orthotic Supplier Primary 335E00000XNone listed

Prosthetic/Orthotic Supplier: An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.

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About NPI 1053984583

Tierra Stephens's National Provider Identifier is 1053984583, issued on Jul 22, 2021. The primary taxonomy on file is Prosthetic/Orthotic Supplier (335E00000X), and the practice location is in Ridgeland, MS. The record was last updated on Jul 22, 2021.