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NPI Code Detail

MEDICARE: GENTLE FOOTCARE LLC

MEDICARE: GENTLE FOOTCARE LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1213E00000XPodiatrist
2332B00000XDurable Medical Equipment & Medical Supplies

General Provider Information

NPI Number : 1679650980
Entity Type Code : Organization
Provider Name (Legal Business Name) : GENTLE FOOTCARE LLC
Provider Business Mailing Address
First Line : PO BOX 27940
Second Line :
City : COLUMBUS
State : OH
Zip : 43227-0940
Country : US
Telephone Number : 614-239-9444
Fax Number : 614-239-1080
Provider Business Practice Location Address
First Line : 4913 HARROUN ROAD
Second Line :
City : SYLVANIA
State : OH
Zip : 43560-2197
Country : US
Telephone Number : 419-885-4471
Fax Number : 614-237-5220
Authorized Official
Title or Position : AUTHORIZED OFFICIAL
Name : JEFFREY S WILSON
Credential : DPM
Telephone Number : 614-239-9444
Provider Enumeration Date : 11/01/2006
Last Update Date : 04/28/2025

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Directions to “GENTLE FOOTCARE LLC ” Practice Location

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