Organization
SPORTSRX LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JIMMY BRANNON (OWNER)
(502) 890-3198
Entity
Organization
Contact information
Practice address
12409 WYNMEADE PL, LOUISVILLE, KY 40223-1630
(502) 303-0919
(772) 872-5889
Mailing address
12409 WYNMEADE PL, LOUISVILLE, KY 40223-1630
(502) 303-0919
(772) 872-5889
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
12/15/2017
Last updated
12/15/2017
About Stedi
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