Healthcare Provider Details

I. General information

NPI: 1174456750
Provider Name (Legal Business Name): GROWLERS DOG BONES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/04/2026
Last Update Date: 06/04/2026
Certification Date: 05/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

250 CLEVELAND AVE
COLUMBUS OH
43215
US

IV. Provider business mailing address

2970 COURTRIGHT RD
COLUMBUS OH
43232-5661
US

V. Phone/Fax

Practice location:
  • Phone: 614-804-0525
  • Fax:
Mailing address:
  • Phone: 614-804-0525
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State

VIII. Authorized Official

Name: TINA M GARRIOTT
Title or Position: EXECUTIVE DIRECTOR
Credential: EXECUTIVE DIRECTOR
Phone: 614-804-0525