NPI 1538321260

Crestwood Foot Clinic LLC

Organisation Prosthetic/Orthotic Supplier North Little Rock, AR

Practice location

Address: 2501 Crestwood Rd Suite 101, North Little Rock, AR 72116
Phone: (501) 771-4785
Fax: (501) 771-4787
Mailing address: 2501 Crestwood Rd Suite 101, North Little Rock, AR 72116-6864

Authorised official

Name: Martha a Jackson
Title: Owner
Phone: (501) 771-4785

Registered specialties

Prosthetic/Orthotic Supplier Primary

Suppliers Taxonomy 335E00000X Licence 87 (AR)

Other Prosthetic/Orthotic Supplier providers in Arkansas →

Registry record

NPI: 1538321260
Entity type: Organization
NPI issued: 25 Jun 2008
Record last updated: 14 Jul 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.