Individual provider · Type 1 NPI
Joshua Graybeal, CP, LPO
Customized Equipment (DME) · Bristol, TN
NPI number
1639551849
Active
Practice location
553 Highway 126
Bristol, TN 37620-1685
Fax (423) 968-4777
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Customized Equipment (DME) Primary | 332BC3200X | PRO0000000023 (TN) |
| Customized Equipment (DME) | 332BC3200X | ORT0000000023 (TN) |
| Prosthetic/Orthotic Supplier | 335E00000X | PRO0000000023 (TN) |
| Prosthetic/Orthotic Supplier | 335E00000X | ORT0000000023 (TN) |
Customized Equipment (DME): Definition to come...
Another provider at this address
About NPI 1639551849
Joshua Graybeal, CP, LPO's National Provider Identifier is 1639551849, issued on Jun 24, 2015. The primary taxonomy on file is Customized Equipment (DME) (332BC3200X), and the practice location is in Bristol, TN. The record was last updated on Jun 24, 2015.