Individual provider · Type 1 NPI

Markeisha Laquita Wardell

Prosthetic/Orthotic Supplier · Clarksville, TN

NPI number 1649898818 Active

Practice location

1502 Tiny Town Rd
Clarksville, TN 37042-8087

Mailing address

3684 Aurora Dr
Clarksville, TN 37040-2553

Specialties and licenses

TaxonomyCodeLicense
Prosthetic/Orthotic Supplier Primary 335E00000X0107051558 (TN)

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 1649898818

Markeisha Laquita Wardell's National Provider Identifier is 1649898818, issued on Jul 13, 2020. The primary taxonomy on file is Prosthetic/Orthotic Supplier (335E00000X), and the practice location is in Clarksville, TN. The record was last updated on Jul 13, 2020.