Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Custom Orthotics & Prosthetics

Organization Prosthetic/Orthotic Supplier · NPI 1528167509

Custom Orthotics & Prosthetics is a Prosthetic/Orthotic Supplier in Kingsport, Tennessee. Licensed in Tennessee. Registered with an NPI since 2006.

Licensed in
TN
In the registry since
2006

Practice location Address checks out

1567 N Eastman Rd Ste 4
Kingsport, TN 37664-2680
Phone: (423) 247-0032
Fax: (423) 247-0038
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Prosthetic/Orthotic Supplier (primary) Taxonomy 335E00000X · Licence BOCO 15072 (TN)

Record details

NPI number1528167509
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jason Joyce — President · (423) 247-0032
NPI enumeratedSeptember 22, 2006
Last updated in NPPESOctober 5, 2011
Mailing address1567 North Eastman Rd, Ste 4, Kingsport, TN 37664-2680

Other providers in Kingsport