OrganizationActive
Custom Healthcare, LLC
NPI 1275583783 · Prosthetic/Orthotic Supplier · Chattanooga, TN
Provider details
- NPI number
- 1275583783
- Entity type
- Organization
- Primary specialty
- Prosthetic/Orthotic SupplierSuppliers
- Organization subpart
- No
- Authorized official
- James Rogers, Ceo(423) 697-0057
- License
- 1036 (TN)
Specialties & taxonomies
Suppliers
Suppliers
Suppliers
Suppliers
Practice location
3700 Brainerd Rd Ste 134
Chattanooga, TN 37411-3603
Phone: (423) 697-0057
Fax: (423) 648-9366
Approximate (ZIP-level) locationGet directions
Mailing address
3700 Brainerd Rd
Chattanooga, TN 37411-3603
Other names (DBA / former)
- Doing business as
- Pps Orthotic & Prosthetic Services
- Doing business as
- Pps Orthotic & Prosthetic Services
Registry dates
- Enumerated
- 2006-05-12
- Last updated
- 2022-04-12
- Certified
- 2022-04-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.