Provider Demographics
NPI:1619596251
Name:A BETTER WALKER, LLC
Entity Type:Organization
Organization Name:A BETTER WALKER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JACK
Authorized Official - Middle Name:
Authorized Official - Last Name:VANAUSDALL
Authorized Official - Suffix:
Authorized Official - Credentials:DEVELOPER
Authorized Official - Phone:970-215-2380
Mailing Address - Street 1:1905 W 8TH ST STE 112
Mailing Address - Street 2:
Mailing Address - City:LOVELAND
Mailing Address - State:CO
Mailing Address - Zip Code:80537-5281
Mailing Address - Country:US
Mailing Address - Phone:970-215-2380
Mailing Address - Fax:
Practice Address - Street 1:1905 W 8TH ST STE 112
Practice Address - Street 2:
Practice Address - City:LOVELAND
Practice Address - State:CO
Practice Address - Zip Code:80537-5281
Practice Address - Country:US
Practice Address - Phone:970-290-0110
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-14
Last Update Date:2021-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies