Provider Demographics
NPI:1275867616
Name:DELLL'OLIO, STEVEN (LMT)
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:
Last Name:DELLL'OLIO
Suffix:
Gender:M
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5088 STRAWPOCKET LN
Mailing Address - Street 2:
Mailing Address - City:WESTERVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43081-7808
Mailing Address - Country:US
Mailing Address - Phone:614-975-8677
Mailing Address - Fax:
Practice Address - Street 1:14 W PACEMONT RD
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43202-1010
Practice Address - Country:US
Practice Address - Phone:614-975-8677
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-01
Last Update Date:2009-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH33.01527172M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172M00000XOther Service ProvidersMechanotherapist