Doctor Name: | MR. TIMOTHY CRAFT MOSS |
NPI Number: | 1407153729 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | CFTS |
License Number: | 000823532I |
Business Practice Address: | 100 E Main St Cherryville, NC - 280213407 |
Business Phone Number: | 7044356011 |
Business Fax Number: | 7044351966 |
Mailing Address: | 100 E Main St, CHERRYVILLE |
State: | NC |
Postal Code: | 280213407 |
Phone Number: | 7044356011 |
Fax Number: | 7044351966 |
NPI Enumeration Date: | 02/23/2011 |
NPI Last Update Date: | 02/23/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225000000X |
License Number: | 000823532I |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Orthotic Fitter |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual trained in the management of fitting prefabricated orthoses. |