Organization
XTREME PROSTHETICS, LLC.
Active
Other names
Bulow Orthotic and Prosthetic Solutions
Organization subpart
No
Provider details
NPI number
Authorized official
AARON KRATOHVIL (VP OF FINANCE, CONTROLLER)
(615) 550-8760
Entity
Organization
Contact information
Practice address
1320 ANDREA ST STE B, BOWLING GREEN, KY 42104-3334
(270) 721-2009
Mailing address
102 WOODMONT BLVD STE 400, NASHVILLE, TN 37205-5217
(615) 864-8790
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
08/16/2021
Last updated
10/05/2021
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