Provider Demographics
NPI:1275897142
Name:RIVERCITY FOOTWORKS, INC.
Entity Type:Organization
Organization Name:RIVERCITY FOOTWORKS, INC.
Other - Org Name:INSTEP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CERTIFIED PEDORTHIST
Authorized Official - Prefix:MR
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:EARL
Authorized Official - Last Name:SADLER
Authorized Official - Suffix:
Authorized Official - Credentials:CPED
Authorized Official - Phone:512-346-4400
Mailing Address - Street 1:PO BOX 202950
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78720-2950
Mailing Address - Country:US
Mailing Address - Phone:512-346-4400
Mailing Address - Fax:512-346-3009
Practice Address - Street 1:9901 N CAPITAL OF TEXAS HWY
Practice Address - Street 2:SUITE 120
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78759-5852
Practice Address - Country:US
Practice Address - Phone:512-413-8664
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-26
Last Update Date:2012-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies