Organization
PODIUM PERFORMANCE CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AIDAN KAYE DC, L.AC. (OWNER)
(609) 214-5615
Entity
Organization
Contact information
Practice address
3500 SCOTTS LN STE 215, PHILADELPHIA, PA 19129-1836
(856) 946-7702
Mailing address
3500 SCOTTS LN STE 215, PHILADELPHIA, PA 19129-1836
(856) 946-7702
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
—
—
171100000X
Acupuncturist
—
—
2251S0007X
Sports Physical Therapist
—
—
2251X0800X
Orthopedic Physical Therapist
—
—
Other
Enumeration date
01/03/2023
Last updated
01/03/2023
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