Provider Demographics
NPI:1083189211
Name:NEXT STEP PROSTHETICS LLC
Entity Type:Organization
Organization Name:NEXT STEP PROSTHETICS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROSTHETIST/CO-OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:TRAVIS
Authorized Official - Middle Name:
Authorized Official - Last Name:BARLOW
Authorized Official - Suffix:
Authorized Official - Credentials:CP
Authorized Official - Phone:801-592-7180
Mailing Address - Street 1:2826 RANDOLPH RD STE 201
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28211-1359
Mailing Address - Country:US
Mailing Address - Phone:980-215-9600
Mailing Address - Fax:980-217-8050
Practice Address - Street 1:2826 RANDOLPH RD STE 201
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28211-1386
Practice Address - Country:US
Practice Address - Phone:980-215-9600
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-03
Last Update Date:2022-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier