NPI 1124025333

Spinesource America, L.L.C

Organisation Prosthetic/Orthotic Supplier Lexington, KY

Practice location

Address: 354 Waller Ave STE. 110, Lexington, KY 40504-2928
Phone: (859) 260-8576
Fax: (859) 201-1088
Mailing address: 354 Waller Ave STE. 102, Lexington, KY 40504-2916

Authorised official

Name: Jim M Clifton
Title: Chief Operating Officer
Phone: (859) 260-8576

Registered specialties

Prosthetic/Orthotic Supplier Primary

Suppliers Taxonomy 335E00000X

Other Prosthetic/Orthotic Supplier providers in Kentucky →

Registry record

NPI: 1124025333
Entity type: Organization
NPI issued: 1 Jul 2005
Record last updated: 22 Aug 2020

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.