| NPI | 1205071867 |
|---|---|
| Doing Business As | THE ATHLETE'S FOOT |
| Entity Type | Organization |
| Authorized Contact | KASINDA FEDRICK Partner 678-377-2788 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2008-12-11 |
| Last Update Date | 2008-12-11 |