IndividualActive
Dale Willetts, TECHNICIAN
NPI 1255666590 · Orthopedic Assistant · Louisville, TN
Provider details
- NPI number
- 1255666590
- Entity type
- Individual
- Primary specialty
- Orthopedic AssistantTechnologists, Technicians & Other Technical Service Providers
- Credential
- TECHNICIAN
- Sex
- Male
- Sole proprietor
- No
Practice location
3733 Riverbrook Dr
Louisville, TN 37777
Phone: (714) 914-6180
Fax: (865) 233-7747
Mailing address
3733 Riverbrook Dr
Louisville, TN 37777-3159
Registry dates
- Enumerated
- 2009-10-05
- Last updated
- 2022-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.