Provider Demographics
NPI:1518089309
Name:FOOT SOLUTIONS
Entity Type:Organization
Organization Name:FOOT SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANGELIA
Authorized Official - Middle Name:KAY
Authorized Official - Last Name:MOORE
Authorized Official - Suffix:
Authorized Official - Credentials:PERORTHIST
Authorized Official - Phone:901-758-3668
Mailing Address - Street 1:7685 FARMINGTON BLVD
Mailing Address - Street 2:SUITE 113
Mailing Address - City:GERMANTOWN
Mailing Address - State:TN
Mailing Address - Zip Code:38138-2901
Mailing Address - Country:US
Mailing Address - Phone:901-758-3668
Mailing Address - Fax:901-758-3338
Practice Address - Street 1:7685 FARMINGTON BLVD
Practice Address - Street 2:SUITE 113
Practice Address - City:GERMANTOWN
Practice Address - State:TN
Practice Address - Zip Code:38138-2901
Practice Address - Country:US
Practice Address - Phone:901-758-3668
Practice Address - Fax:901-758-3338
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-04
Last Update Date:2008-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier