| NPI | 1669699955 |
|---|---|
| Doing Business As | FOOT SOLUTIONS PEORIA |
| Entity Type | Organization |
| Authorized Contact | TOMM O KLEYENSTEUBER Owner 623-628-1001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: AZ 07-653721M) |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2007-08-30 |