Healthcare Provider Details
I. General information
NPI: 1831857267
Provider Name (Legal Business Name): BEST FOOT FORWARD CORP
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/02/2021
Last Update Date: 04/14/2022
Certification Date: 04/14/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
12900 TESSON FERRY RD STE 101
SAINT LOUIS MO
63128-3002
US
IV. Provider business mailing address
12900 TESSON FERRY RD STE 101
SAINT LOUIS MO
63128-3002
US
V. Phone/Fax
- Phone: 314-252-0708
- Fax: 877-628-4620
- Phone: 314-252-0708
- Fax: 877-628-4620
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QP1100X |
| Taxonomy | Podiatric Clinic/Center |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 332B00000X |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
FRANKLIN
W
HARRY
Title or Position: PRESIDENT
Credential: DPM
Phone: 314-252-0708