Individual provider · Type 1 NPI

Kentoria Tatum

Prosthetic/Orthotic Supplier · Dallas, TX

NPI number 1821864463 Active

Practice location

4245 N Central Expy Ste 490
Dallas, TX 75205-4231

Call (469) 245-6831 Map

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 1821864463

Kentoria Tatum's National Provider Identifier is 1821864463, issued on Nov 27, 2023. The primary taxonomy on file is Prosthetic/Orthotic Supplier (335E00000X), and the practice location is in Dallas, TX. The record was last updated on Nov 27, 2023.