Organization · Type 2 NPI

Xtreme Prosthetics, Llc.

Prosthetic/Orthotic Supplier · Somerset, KY

NPI number 1245534585 Active

Practice location

1005 West Columbia St, Suite B
Somerset, KY 42503

Call (606) 451-0668 Map

Fax (606) 451-0078

Mailing address

102 Woodmont Blvd Ste 400
Nashville, TN 37205-5217

Specialties and licenses

Taxonomy	Code	License
Prosthetic/Orthotic Supplier Primary	335E00000X	None listed

Prosthetic/Orthotic Supplier: 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.

Other prosthetic/orthotic supplier providers in Somerset

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NPI record

NPI: 1245534585
Entity type: Organization (Type 2)
Issued: Dec 30, 2010
Last updated: May 29, 2026
Status: Active

Other names

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Formotion Clinic · doing business as
Xtreme Prosthetics & Orthotics, LLC · former legal business name

Authorized official

Bradford Neil Gardner
Director
(615) 864-8783

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About NPI 1245534585

Xtreme Prosthetics, Llc.'s National Provider Identifier is 1245534585, issued on Dec 30, 2010. The primary taxonomy on file is Prosthetic/Orthotic Supplier (335E00000X), and the practice location is in Somerset, KY. The record was last updated on May 29, 2026.