NPI 1821278839

Foot Store LLC

Organisation Prosthetic/Orthotic Supplier Washington, MO

Practice location

Address: 851 E 5th St Suite 228, Washington, MO 63090-3135
Phone: (636) 239-0018
Fax: (636) 239-0081

Authorised official

Name: John M Dailey
Title: President
Phone: (636) 239-0018

Registered specialties

Prosthetic/Orthotic Supplier Primary

Suppliers Taxonomy 335E00000X Licence 00689 (MO)

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Registry record

NPI: 1821278839
Entity type: Organization
NPI issued: 7 Nov 2007
Record last updated: 7 Nov 2007

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.