Mitzi Nikkole

NPI #1134795669 in Martin, Tennessee

Provider Information

NPI Number
1134795669
Entity Type
Organization
Organization Name
Mitzi Nikkole
Primary Specialty
Prosthetic/Orthotic Supplier
Enumeration Date
Jun 3, 2021
Last Updated
Jun 3, 2021

Practice Location

Address
509 ELM ST
City
Martin
ZIP Code
38237-3407
Phone
(270) 627-1247

Authorized Official

Name
MITZI MORRIS
Title
OWNER
Phone
(270) 627-1247

Specialties & Taxonomy Codes

Specialty
Prosthetic/Orthotic Supplier

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