Individual provider · Type 1 NPI
Tracy Lynn Johnson, CFTS
Prosthetic/Orthotic Supplier · Wilmington, NC
Practice location
2309 S 17th St Ste 100
Wilmington, NC 28401-8006
Fax (910) 397-2867
Mailing address
8504 Lakeview Dr
Wilmington, NC 28412-3397
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Prosthetic/Orthotic Supplier Primary | 335E00000X | CFTS0582 (NC) |
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 1992938757
Tracy Lynn Johnson, CFTS's National Provider Identifier is 1992938757, issued on Aug 27, 2009. The primary taxonomy on file is Prosthetic/Orthotic Supplier (335E00000X), and the practice location is in Wilmington, NC. The record was last updated on Aug 27, 2009.