Individual provider · Type 1 NPI
Shannon Wyatt
Prosthetic/Orthotic Supplier · Yorktown, VA
Practice location
400 Commerce Cir, H
Yorktown, VA 23693-4322
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist | 174400000X | 1202213935 (VA) |
| Customized Equipment (DME) | 332BC3200X | None listed |
| 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 1992151203
Shannon Wyatt's National Provider Identifier is 1992151203, issued on May 5, 2016. The primary taxonomy on file is Prosthetic/Orthotic Supplier (335E00000X), and the practice location is in Yorktown, VA. The record was last updated on May 6, 2016.