Podium LLC

NPI #1740637826 in Shelby, Ohio

Provider Information

NPI Number: 1740637826
Entity Type: Organization
Organization Name: Podium LLC
Primary Specialty: Clinic/Center - Physical Therapy
Enumeration Date: May 19, 2016
Last Updated: May 19, 2016

Practice Location

Address: 20 E MADISON AVE
City: Shelby
State: Ohio
ZIP Code: 44875-1614
Phone: (419) 982-0062

Authorized Official

Name: DR. JARED BONECUTTER, PT, DPT
Title: PRESIDENT
Phone: (419) 982-0062

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Physical Therapy — Physical Therapy	261QP2000X	Primary

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