Healthcare Provider Details

I. General information

NPI: 1477325892
Provider Name (Legal Business Name): SURE FOOTING ORTHOTICS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/30/2023
Last Update Date: 03/10/2026
Certification Date: 03/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5701 E I 240 SERVICE RD STE G
OKLAHOMA CITY OK
73135-5809
US

IV. Provider business mailing address

11990 N HIGHWAY 99
SEMINOLE OK
74868-9411
US

V. Phone/Fax

Practice location:
  • Phone: 405-931-2349
  • Fax:
Mailing address:
  • Phone: 405-303-6078
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number State

VIII. Authorized Official

Name: ANNE CARTER
Title or Position: CEO
Credential:
Phone: 760-583-9517