Individual provider · Type 1 NPI
Amanda Williamson
Prosthetic/Orthotic Supplier · Jackson, MS
NPI number
1104598135
Active
Practice location
115 N State St
Jackson, MS 39201-2811
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Prosthetic/Orthotic Supplier Primary | 335E00000X | None 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.
About NPI 1104598135
Amanda Williamson's National Provider Identifier is 1104598135, issued on Sep 28, 2021. The primary taxonomy on file is Prosthetic/Orthotic Supplier (335E00000X), and the practice location is in Jackson, MS. The record was last updated on Sep 28, 2021.