Organization
FIRM FOUNDATIONS SALON, INC.
Active
Other names
Firm Foundations Boutique
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEIRDRE B BRADLEY CFM (OWNER/FITTER)
(606) 834-1040
Entity
Organization
Contact information
Practice address
1566 DIEDERICH BLVD, RUSSELL, KY 41169-1676
(606) 834-1040
(606) 834-1044
Mailing address
1566 DIEDERICH BLVD, RUSSELL, KY 41169-1676
(606) 834-1040
(606) 834-1044
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
149620
KY
Other
Enumeration date
11/02/2005
Last updated
08/22/2020
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