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Organization

PRECISION ORTHOTICS & PROSTHETICS, LLC

Active
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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
102 WOODMONT BLVD STE 400, NASHVILLE, TN 37205-5217
(615) 550-8774
(615) 553-8147

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
06/02/2026
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