| Organization Name: | JAFFE SHOE STORES, INC. |
| NPI Number: | 1013900729 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SONNY SANDERS (PRESIDENT/CERTIIED PEDORTHIST) |
| Mailing Address: | 5726 Marlin Rd Suite 512 Chattanooga |
| State: | TN US |
| Postal Code: | 374114008 |
| Phone Number: | 4238923366 |
| Fax Number: | 4238923337 |
| NPI Enumeration Date: | 08/27/2005 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 335E00000X |
| License Number: | NO STATE LICENSURE |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Prosthetic/Orthotic Supplier |
| Taxonomy Specialization: | |
| Taxonomy Definition: | 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. |