Provider Demographics
NPI:1114586344
Name:FOOT AND ANKLE ACCESSORIES
Entity Type:Organization
Organization Name:FOOT AND ANKLE ACCESSORIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINIC MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:FALANDA
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:RATLIFF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:318-357-3668
Mailing Address - Street 1:215 SOUTH DR
Mailing Address - Street 2:
Mailing Address - City:NATCHITOCHES
Mailing Address - State:LA
Mailing Address - Zip Code:71457-5003
Mailing Address - Country:US
Mailing Address - Phone:318-357-3668
Mailing Address - Fax:318-357-0690
Practice Address - Street 1:415 BIENVILLE ST STE 2
Practice Address - Street 2:
Practice Address - City:NATCHITOCHES
Practice Address - State:LA
Practice Address - Zip Code:71457-5700
Practice Address - Country:US
Practice Address - Phone:318-357-3668
Practice Address - Fax:318-357-0690
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-11
Last Update Date:2024-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies