Organization
DURRETT'S ORTHOTIC AND PROSTHETIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUZANNE WARD (OWNER)
(859) 341-7688
Entity
Organization
Contact information
Practice address
1049 W EADS PKWY, LAWRENCEBURG, IN 47025-1162
(812) 489-7304
(812) 489-7320
Mailing address
20 MEDICAL VILLAGE DR STE 100, EDGEWOOD, KY 41017-5403
(859) 341-7688
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300064747
—
IN
Enumeration date
08/23/2022
Last updated
12/05/2022
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