NPI 1063179497
Xtreme Prosthetics, LLC.
Practice location
- Address
- 4122 Shelbyville Rd STE 108, Louisville, KY 40207-3206
- Phone
- (503) 308-4144
- Mailing address
- 102 Woodmont Blvd STE 120, Nashville, TN 37205-5249
Authorised official
- Name
- Aaron Kratohvil
- Title
- Vp of Finance, Controller
- Phone
- (615) 550-8760
Registered specialties
Prosthetic/Orthotic Supplier
Primary
Registry record
- NPI
- 1063179497
- Entity type
- Organization
- NPI issued
- 19 Nov 2021
- Record last updated
- 19 Nov 2021
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.