IndividualActive
Tommie Foxworth
NPI 1669907150 · Prosthetics Case Management · Mesa, AZ
Provider details
- NPI number
- 1669907150
- Entity type
- Individual
- Primary specialty
- Prosthetics Case ManagementOther Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 202 (AZ)
Practice location
1616 E Main St
Suite 102-103
Mesa, AZ 85203-9071
Phone: (602) 349-2579
Fax: (480) 832-0299
Mailing address
7440 E Main St
Mesa, AZ 85207-8300
Registry dates
- Enumerated
- 2017-04-22
- Last updated
- 2017-04-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.