Individual provider · Type 1 NPI

Keith Wilson, CPO

Prosthetic/Orthotic Supplier · Nashville, TN

NPI number 1851732697 Active

Practice location

1823 Charlotte Ave
Nashville, TN 37203-2104

Mailing address

408 Highpoint Ter
Brentwood, TN 37027-8841

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 1851732697

Keith Wilson, CPO's National Provider Identifier is 1851732697, issued on Jul 9, 2013. The primary taxonomy on file is Prosthetic/Orthotic Supplier (335E00000X), and the practice location is in Nashville, TN. The record was last updated on Jul 9, 2013.