NPI 1104613975
Xtreme Prosthetics, LLC.
Practice location
- Address
- 207 Hibbard St STE 1, Pikeville, KY 41501-4792
- Phone
- (606) 506-1250
- Mailing address
- 102 Woodmont Blvd STE 400, Nashville, TN 37205-5217
Authorised official
- Name
- Bradford Gardner
- Title
- Coo
- Phone
- (615) 864-8783
Registered specialties
Prosthetic/Orthotic Supplier
Primary
Registry record
- NPI
- 1104613975
- Entity type
- Organization
- NPI issued
- 23 Apr 2025
- Record last updated
- 21 Oct 2025
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.