Provider Demographics
NPI:1255946711
Name:FOOT SOLUTIONS, INC.
Entity type:Organization
Organization Name:FOOT SOLUTIONS, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:PROTHRO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-298-1822
Mailing Address - Street 1:2340 W BELL RD STE 112
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85023-3206
Mailing Address - Country:US
Mailing Address - Phone:602-298-1822
Mailing Address - Fax:602-298-1823
Practice Address - Street 1:2340 W BELL RD STE 112
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85023-3206
Practice Address - Country:US
Practice Address - Phone:602-298-1822
Practice Address - Fax:602-298-1823
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-11
Last Update Date:2021-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes332B00000XSuppliersDurable Medical Equipment & Medical SuppliesGroup - Single Specialty