Provider Demographics
NPI:1114906922
Name:RECKERS FOOT SOLUTIONS INC
Entity Type:Organization
Organization Name:RECKERS FOOT SOLUTIONS INC
Other - Org Name:FOOT SOLUTIONS OF YORK
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CERTIFIED PEDORTHIST
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:A
Authorized Official - Last Name:RECKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:717-757-3338
Mailing Address - Street 1:427 LAMP POST LN
Mailing Address - Street 2:
Mailing Address - City:CAMP HILL
Mailing Address - State:PA
Mailing Address - Zip Code:17011-1428
Mailing Address - Country:US
Mailing Address - Phone:717-731-9991
Mailing Address - Fax:
Practice Address - Street 1:2944 WHITEFORD RD
Practice Address - Street 2:STE 3
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17402-8978
Practice Address - Country:US
Practice Address - Phone:717-757-3338
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-10
Last Update Date:2010-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA5456780001Medicare NSC