Organization
VINE PERFORMANCE THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RYAN J TEKNIPP DPT (OWNER)
(740) 990-6311
Entity
Organization
Contact information
Practice address
400 LAZELLE RD STE 10, COLUMBUS, OH 43240-2077
(740) 936-7774
Mailing address
220 SEATRAIN DR, DELAWARE, OH 43015-3418
(740) 990-6311
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
12/07/2021
Last updated
01/22/2022
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