Organization
PRECISION ORTHOTICS & PROSTHETICS, LLC
Active
Other names
ForMotion Clinic, Pop Prosthetics
Organization subpart
No
Provider details
NPI number
Authorized official
BRADFORD GARDNER (COO)
(615) 864-8783
Entity
Organization
Contact information
Practice address
526 S TONOPAH DR, SUITE 120, LAS VEGAS, NV 89106-4043
(702) 243-7671
(702) 259-7671
Mailing address
526 S TONOPAH DR, SUITE 120, LAS VEGAS, NV 89106-4043
(702) 293-5502
(702) 259-7671
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100517503
—
NV
Enumeration date
01/04/2011
Last updated
08/14/2025
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