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SPINESOURCE AMERICA L.L.C NPI 1124025333


NPI Information

NPI: 1124025333
Provider Name: SPINESOURCE AMERICA, L.L.C
Classification: Prosthetic/Orthotic Supplier - 335E00000X
Entity Type: Organization
Address:
354 WALLER AVE
STE. 110
LEXINGTON, KY
ZIP 40504
Phone: (859) 260-8576
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SPINESOURCE AMERICA, L.L.C is a prosthetic orthotic supplier in Lexington, KY. The provider is an organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. SPINESOURCE AMERICA, L.L.C NPI is 1124025333. The provider is registered as an organization entity type.

The provider's business location address is:

354 WALLER AVE
STE. 110
LEXINGTON, KY
ZIP 40504-928
Phone: (859) 260-8576
Fax: (859) 201-1088

The provider's authorized official is Jim M Clifton .
The authorized official title is Chief Operating Officer and has the following contact phone number (859) 260-8576.

The enumeration date for this NPI number is 7/1/2005 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1335E00000XProsthetic/Orthotic SupplierYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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