Organization
BULOW BIOTECH PROSTHETICS, LLC
Active
Other names
ForMotion Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
BRADFORD NEIL GARDNER (COO)
(615) 864-8783
Entity
Organization
Contact information
Practice address
3227E SUNSET BLVD, WEST COLUMBIA, SC 29169
(803) 926-5519
(803) 926-5521
Mailing address
102 WOODMONT BLVD STE 400, NASHVILLE, TN 37205-5217
(615) 864-8788
(615) 454-5352
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DE3372-1568764751
—
SC
Enumeration date
11/22/2010
Last updated
04/16/2026
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