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

Xtreme Prosthetics LLC

Organization Prosthetic/Orthotic Supplier · NPI 1992249718

Xtreme Prosthetics LLC is a Prosthetic/Orthotic Supplier in Glasgow, Kentucky. Licensed in Kentucky. Registered with an NPI since 2016.

Licensed in
KY
In the registry since
2016
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

400 S Broadway St
Glasgow, KY 42141-2502
Phone: (270) 629-5462
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 135770 (KY)

Record details

NPI number1992249718
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Bradford Gardner — Director · (615) 864-8783
Other names Formotion Clinic
NPI enumeratedDecember 13, 2016
Last updated in NPPESMay 29, 2026
Certification dateMay 29, 2026
Mailing address102 Woodmont Blvd Ste 400, Nashville, TN 37205-5217