Organization
PREMIER PROSTHETICS AND ORTHOTICS
Active
Other names
ForMotion Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
BRADFORD NEIL GARDNER (DIRECTOR OF SHARED SERVICES)
(615) 864-8783
Entity
Organization
Contact information
Practice address
343 S KIRKWOOD RD STE 200, SAINT LOUIS, MO 63122-6195
(314) 262-8900
(314) 743-3575
Mailing address
343 S KIRKWOOD RD STE 200, SAINT LOUIS, MO 63122-6195
(314) 262-8900
(314) 743-3575
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
B00326665
MO
Other
Enumeration date
07/07/2009
Last updated
04/29/2026
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