Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Premier Prosthetics and Orthotics

Organization Prosthetic/Orthotic Supplier · NPI 1003045436

Premier Prosthetics and Orthotics is a Prosthetic/Orthotic Supplier in Saint Louis, Missouri. Licensed in Missouri. Registered with an NPI since 2009.

Licensed in
MO
In the registry since
2009

Practice location Address checks out

343 S Kirkwood Rd Ste 200
Saint Louis, MO 63122-6195
Phone: (314) 262-8900
Fax: (314) 743-3575
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Prosthetic/Orthotic Supplier (primary) Taxonomy 335E00000X · Licence B00326665 (MO)

Record details

NPI number1003045436
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Bradford Gardner — Director Of Shared Services · (615) 864-8783
Other names Formotion Clinic
NPI enumeratedJuly 7, 2009
Last updated in NPPESApril 29, 2026
Certification dateApril 29, 2026
Mailing address343 S Kirkwood Rd Ste 200, Saint Louis, MO 63122-6195

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