Podium Physical Therapy & Performance Training Pllc

NPI #1417542820 in Moses Lake, Washington

Provider Information

NPI Number: 1417542820
Entity Type: Organization
Organization Name: Podium Physical Therapy & Performance Training Pllc
Primary Specialty: Physical Therapist
Enumeration Date: Mar 8, 2021
Last Updated: Mar 8, 2021

Practice Location

Address: 6708 NE COLLEGE PARKWAY
City: Moses Lake
State: Washington
ZIP Code: 98837
Phone: (509) 707-8085

Authorized Official

Name: RYAN CARPENTER, PT, DPT
Title: OWNER
Phone: (509) 707-8085

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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