Organization
SRT PROSTHETICS & ORTHOTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRADFORD GARDNER (DIRECTOR SHARED SVCS)
(615) 864-8783
Entity
Organization
Contact information
Practice address
408 E WASHINGTON ST, BUTLER, IN 46721-1179
(419) 633-3961
(419) 633-3981
Mailing address
408 E WASHINGTON ST, BUTLER, IN 46721-1179
(419) 633-3961
(419) 633-3981
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200360760E
—
IN
Enumeration date
08/19/2005
Last updated
09/17/2025
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