Healthcare Provider Details

I. General information

NPI: 1518646793
Provider Name (Legal Business Name): BEST FOOT FORWARD CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/14/2023
Last Update Date: 07/14/2023
Certification Date: 07/14/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12866 TROXLER AVE STE 135
HIGHLAND IL
62249-2806
US

IV. Provider business mailing address

1479 US HIGHWAY 61 STE B
FESTUS MO
63028-4162
US

V. Phone/Fax

Practice location:
  • Phone: 618-651-2750
  • Fax: 618-654-6462
Mailing address:
  • Phone: 636-224-8297
  • Fax: 877-628-4620

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP1100X
TaxonomyPodiatric Clinic/Center
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number StateNULL

VIII. Authorized Official

Name: FRANKLIN W HARRY
Title or Position: PRESIDENT
Credential: DPM
Phone: 314-252-0708