| Performance Sports And Spine Center, Llc | |
|
167 S State St Ste 190, Westerville, OH 43081-2282 | |
| (330) 233-1273 | |
| Not Available |
| Full Name | Performance Sports And Spine Center, Llc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 167 S State St Ste 190, Westerville, Ohio |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922365774 | NPI | - | NPPES |
| 3130427 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 4149 (Ohio) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Performance Sports And Spine Center, Llc 167 S State St Ste 190, Westerville, OH 43081-2282 Ph: () - | Performance Sports And Spine Center, Llc 167 S State St Ste 190, Westerville, OH 43081-2282 Ph: (330) 233-1273 |
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