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

Mitzi Nikkole

Organization Prosthetic/Orthotic Supplier · NPI 1134795669

Mitzi Nikkole is a Prosthetic/Orthotic Supplier in Martin, Tennessee. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

509 Elm St
Martin, TN 38237-3407
Phone: (270) 627-1247
Show map & directions

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

Specialties & licences

Prosthetic/Orthotic Supplier (primary) Taxonomy 335E00000X

Record details

NPI number1134795669
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mitzi Morris — Owner · (270) 627-1247
NPI enumeratedJune 3, 2021
Last updated in NPPESJune 3, 2021
Certification dateJune 3, 2021
Mailing addressPo Box 13, Hickman, KY 42050-0013