# PERFORMANCE HEALTH MODULUS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063735751
- **Authorized official:** DR. TREMAINE E YOUNG D.C. (OWNER / PROVIDER)
- **Authorized official phone:** (614) 426-3851

## Contact information

- **Practice address:** 5650 N HAMILTON RD, COLUMBUS, OH 43230-1324
- **Practice address phone:** (614) 426-3851
- **Practice address fax:** (614) 633-1046
- **Mailing address:** 5650 N HAMILTON RD, COLUMBUS, OH 43230-1324
- **Mailing address phone:** (614) 426-3851
- **Mailing address fax:** (614) 633-1046

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 3991 | OH | Yes |

## Other

- **Enumeration date:** 03/09/2010
- **Last updated:** 03/09/2010