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Organization
PODIUM PHYSICAL THERAPY & PERFORMANCE TRAINING PLLC
Active
Organization
PODIUM PHYSICAL THERAPY & PERFORMANCE TRAINING PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN CARPENTER PT, DPT (OWNER)
(509) 707-8085
Entity
Organization
Contact information
Practice address
6708 NE COLLEGE PARKWAY, MOSES LAKE, WA 98837
(509) 707-8085
Mailing address
9324 ALBERT WAY SE, MOSES LAKE, WA 98837-9053
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
03/08/2021
Last updated
03/08/2021
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