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Foot Store Llc
Prosthetic/Orthotic Supplier in Washington, Missouri
NPI 1821278839

Foot Store Llc is a Prosthetic/Orthotic Supplier based in Washington, MO. Foot Store Llc practices in Washington, MO. The NPI Number for Foot Store Llc is 1821278839 and holds a License No. 00689 (Missouri).

The current practice location address for Foot Store Llc is 851 E 5Th St, Washington, MO and can be reached out via phone at 636-239-0018 and via fax at 636-239-0081. You can also correspond with Foot Store Llc through the mailing address at 851 E 5TH ST, WASHINGTON, MO - 63090-3135 (mailing address contact number: 636-239-0018).

Location: 851 E 5Th St, Washington, MO, 63090-3135
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1821278839
Provider Name
Foot Store Llc
Credential
Provider Entity Type
Organization
Address
851 E 5Th St, Washington, MO, 63090-3135
Phone Number
636-239-0018
Fax Number
636-239-0081
Provider Enumeration Date
11/07/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
851 E 5Th St
City
Washington
State
Missouri
Zip
63090-3135
Phone Number
636-239-0018
Fax Number
636-239-0081
person
Provider Business Mailing Address Details
Address
851 E 5Th St
City
Washington
State
Missouri
Zip
63090-3135
Phone Number
636-239-0018
Fax Number
636-239-0081
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
00689 (Missouri)
Definition
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
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