Provider Demographics
NPI:1114680402
Name:A STEP AHEAD ORTHOTICS AND PROSTHETICS, INC
Entity Type:Organization
Organization Name:A STEP AHEAD ORTHOTICS AND PROSTHETICS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:KARI
Authorized Official - Middle Name:
Authorized Official - Last Name:RIEGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-383-0048
Mailing Address - Street 1:718 THOMPSON LN STE 115
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37204-3612
Mailing Address - Country:US
Mailing Address - Phone:615-383-0048
Mailing Address - Fax:615-383-1588
Practice Address - Street 1:211 SHERWAY RD STE C
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37922-2241
Practice Address - Country:US
Practice Address - Phone:865-240-3340
Practice Address - Fax:615-383-1588
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:A STEP AHEAD ORTHOTICS AND PROSTHETICS, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-10-14
Last Update Date:2021-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier