Provider Demographics
NPI:1790970762
Name:FOOTTENDERS LLC
Entity Type:Organization
Organization Name:FOOTTENDERS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:GARY
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHMIDT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-841-9270
Mailing Address - Street 1:15200 E GIRARD AVE
Mailing Address - Street 2:SUITE 4350
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80014-3988
Mailing Address - Country:US
Mailing Address - Phone:303-841-9270
Mailing Address - Fax:303-991-6032
Practice Address - Street 1:15200 E GIRARD AVE
Practice Address - Street 2:SUITE 4350
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80014-3988
Practice Address - Country:US
Practice Address - Phone:303-841-9270
Practice Address - Fax:303-991-6032
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-12
Last Update Date:2007-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No335E00000XSuppliersProsthetic/Orthotic Supplier