Organization
ROCKY MOUNTAIN ARTIFICIAL LIMB & BRACE, INC
Active
Parent organization
BULOW HOLDINGS, LLC
Other names
ForMotion Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
BULOW HOLDINGS, LLC
Authorized official
LORI E. MARLER (CREDENTIALING MGR.)
(615) 864-8790
Entity
Organization
Contact information
Practice address
3746 WOODKING DR, IDAHO FALLS, ID 83404-4720
(208) 524-3230
(208) 524-3231
Mailing address
102 WOODMONT BLVD STE 400, NASHVILLE, TN 37205-5217
(615) 550-8774
(615) 454-5352
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
—
—
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002498200
—
ID
01
—
071705
BLUE SHIELD
ID
05
—
100005500
—
WY
01
—
89730
POC BLUE CROSS ID#
ID
01
—
89748
IF BLUE CROSS
ID
Enumeration date
10/10/2005
Last updated
02/17/2026
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