| NPI | 1760560015 |
|---|---|
| Doing Business As | LOUISVILLE FOOT AND ANKLE SPECIALISTS |
| Entity Type | Organization |
| Authorized Contact | THOMAS WAYNE CHILDRESS Owner 502-893-1844 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP1100X Clinic/Center, Podiatric (Licence: KY 00209) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2020-02-04 |