Organization
XTREME PROSTHETICS LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. AARON E KRATOHVIL JR. CPO (MANAGING MEMBER)
(615) 550-8760
Entity
Organization
Contact information
Practice address
400 S BROADWAY ST, GLASGOW, KY 42141-2502
(270) 629-5462
Mailing address
400 S BROADWAY ST, GLASGOW, KY 42141-2502
(270) 629-5462
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
135770
KY
Other
Enumeration date
12/13/2016
Last updated
05/14/2021
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