Provider Demographics
NPI:1346370533
Name:THE RIGHT SHOE, LLC
Entity Type:Organization
Organization Name:THE RIGHT SHOE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:LYNN
Authorized Official - Middle Name:
Authorized Official - Last Name:DETOUR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:860-347-7062
Mailing Address - Street 1:100 RIVERVIEW CTR STE 135
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:CT
Mailing Address - Zip Code:06457-3446
Mailing Address - Country:US
Mailing Address - Phone:860-347-7062
Mailing Address - Fax:860-347-7083
Practice Address - Street 1:100 RIVERVIEW CTR STE 135
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:CT
Practice Address - Zip Code:06457-3446
Practice Address - Country:US
Practice Address - Phone:860-347-7062
Practice Address - Fax:860-347-7083
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Not Answered335E00000XSuppliersProsthetic/Orthotic Supplier