Organization
XTREME PROSTHETICS, LLC.
Active
Other names
ForMotion Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
BRADFORD GARDNER (COO)
(615) 864-8783
Entity
Organization
Contact information
Practice address
207 HIBBARD ST STE 1, PIKEVILLE, KY 41501-4792
(606) 506-1250
Mailing address
102 WOODMONT BLVD STE 400, NASHVILLE, TN 37205-5217
(615) 864-8790
(615) 864-8790
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
04/23/2025
Last updated
10/21/2025
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