Organization
REFORM PROSTHETICS LLC
Active
Organization
REFORM PROSTHETICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ZACHARY WEBER (CLINICAL DIRECTOR)
(865) 297-6600
Entity
Organization
Contact information
Practice address
4444 KEYSTONE DR STE F, MAUMEE, OH 43537-8796
(419) 322-2303
Mailing address
3652 DEER CREEK DR, MAUMEE, OH 43537-7902
(865) 297-6600
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1700189917
NPI
—
Enumeration date
11/19/2018
Last updated
06/18/2025
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