Organization Name: | BRACING & REHAB KINETICS LLC |
NPI Number: | 1134468770 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DOUGLAS J ESTEY (PARTNER) |
Mailing Address: | 1105 Foxwood Dr. Sevierville |
State: | TN US |
Postal Code: | 378625029 |
Phone Number: | 8653653160 |
Fax Number: | 8653653171 |
NPI Enumeration Date: | 02/01/2013 |
NPI Last Update Date: | 02/26/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332BC3200X |
License Number: | PA0000001404 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | Customized Equipment |
Taxonomy Definition: |