Southeastern Orthotics & Prosthetics, INC

NPI #1447223557 in Cleveland, Tennessee

Provider Information

NPI Number: 1447223557
Entity Type: Organization
Organization Name: Southeastern Orthotics & Prosthetics, INC
Subpart: Yes (part of a larger organization)
Parent Organization: SOUTHEASTERN ORTHOTICS & PROSTHETICS
Primary Specialty: Orthotist
Enumeration Date: Feb 9, 2006
Last Updated: Jan 18, 2022

Practice Location

Address: 220 1ST ST NW
City: Cleveland
State: Tennessee
ZIP Code: 37311-5006
Phone: (423) 559-0500

Authorized Official

Name: LAUREN VAUGHN
Title: VP OF OPERATIONS
Phone: (615) 890-2160

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Prosthetist	224P00000X
Prosthetic/Orthotic Supplier	335E00000X
Orthotist	222Z00000X	Primary

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