IndividualActive
Earl Robertson, CP, LPO
NPI 1629502968 · Prosthetist · Memphis, TN
Provider details
- NPI number
- 1629502968
- Entity type
- Individual
- Primary specialty
- ProsthetistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- CP, LPO
- Sex
- Male
- Sole proprietor
- No
- License
- LO 58 (TN)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
722 N White Station Rd
Memphis, TN 38122-4422
Phone: (901) 763-6999
Fax: (901) 682-9062
Approximate (ZIP-level) locationGet directions
Mailing address
722 N White Station Rd
Memphis, TN 38122-4422
Registry dates
- Enumerated
- 2017-04-13
- Last updated
- 2017-04-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.