Provider Demographics
NPI:1952949414
Name:NPS FOOT HEALTH, LLC
Entity Type:Organization
Organization Name:NPS FOOT HEALTH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER / MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:GERARD
Authorized Official - Last Name:FLAHAVAN
Authorized Official - Suffix:
Authorized Official - Credentials:CO, CPED
Authorized Official - Phone:608-255-3500
Mailing Address - Street 1:1334 APPLEGATE RD STE 200
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53713-3184
Mailing Address - Country:US
Mailing Address - Phone:608-255-3500
Mailing Address - Fax:608-255-3515
Practice Address - Street 1:1334 APPLEGATE RD STE 200
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53713-3184
Practice Address - Country:US
Practice Address - Phone:608-255-3500
Practice Address - Fax:608-255-3515
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-16
Last Update Date:2019-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes222Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOrthotistGroup - Single Specialty