Provider Demographics
NPI:1053495994
Name:FOOTSTEPS TO THE FUTURE, LLC
Entity Type:Organization
Organization Name:FOOTSTEPS TO THE FUTURE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:M
Authorized Official - Last Name:ADAMS
Authorized Official - Suffix:
Authorized Official - Credentials:MS, PT
Authorized Official - Phone:618-977-9525
Mailing Address - Street 1:7009 STONEY CREEK DR
Mailing Address - Street 2:
Mailing Address - City:EDWARDSVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:62025-3010
Mailing Address - Country:US
Mailing Address - Phone:618-977-9525
Mailing Address - Fax:618-692-4561
Practice Address - Street 1:7009 STONEY CREEK DR
Practice Address - Street 2:
Practice Address - City:EDWARDSVILLE
Practice Address - State:IL
Practice Address - Zip Code:62025-3010
Practice Address - Country:US
Practice Address - Phone:618-977-9525
Practice Address - Fax:618-692-4561
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health