Organization
FALLS CITY LIMB & BRACE CO, INC
Active
Organization
FALLS CITY LIMB & BRACE CO, INC
Active
Other names
Louisville Prosthetics
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT WAYNE LUCKETT CP, CPED (OPERATIONS MANAGER, CERT. PROSTHETI)
(502) 584-2959
Entity
Organization
Contact information
Practice address
1404 BROWNS LN, SUITE C, LOUISVILLE, KY 40207-4655
(502) 895-8050
(502) 895-8056
Mailing address
1404 BROWNS LN, SUITE C, LOUISVILLE, KY 40207-4655
(502) 895-8050
(502) 895-8056
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
NA
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000066275
ANTHEM BC/BS
—
05
—
100000700A
—
IN
05
—
90130568
—
KY
Enumeration date
10/25/2011
Last updated
05/21/2025
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