Organization
XTREME PROSTHETICS, LLC.
Active
Organization
XTREME PROSTHETICS, LLC.
Active
Other names
SRT Prosthetics & Orthotics
Organization subpart
No
Provider details
NPI number
Authorized official
AARON KRATOHVIL (VP OF FINANCE, CONTROLLER)
(615) 550-8760
Entity
Organization
Contact information
Practice address
4122 SHELBYVILLE RD STE 108, LOUISVILLE, KY 40207-3206
(503) 308-4144
Mailing address
102 WOODMONT BLVD STE 120, NASHVILLE, TN 37205-5249
(161) 586-4879
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
11/19/2021
Last updated
11/19/2021
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