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Organization

FIRST STEP PROSTHETICS, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JEREMY E HARRIS CP (OWNER)
(270) 904-6130
Entity
Organization

Contact information

Practice address
1136 US 31W BYP, BOWLING GREEN, KY 42101-2420
(270) 904-6130
(270) 904-6132
Mailing address
1136 US 31W BYP, 1136 US 31W BYPASS, BOWLING GREEN, KY 42101-2420
(270) 904-6130
(270) 904-6132

Taxonomy

Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
PRO0000000124
TN
335E00000X
Prosthetic/Orthotic Supplier
Primary
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7100109260
KY
Enumeration date
09/08/2009
Last updated
09/24/2025
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