Organization
BULOW BIOTECH PROSTHETICS, LLC
Active
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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