# NEXT LEVEL SPORT AND SPINE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Next Level Sport & Spine
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154833655
- **Authorized official:** JEREMY R PORTMANN DC (OWNER)
- **Authorized official phone:** (330) 440-6700

## Contact information

- **Practice address:** 204 W. HIGH AVE, NEW PHILADELPHIA, OH 44663
- **Practice address phone:** (330) 440-6700
- **Practice address fax:** (330) 440-6701
- **Mailing address:** 204 W HIGH AVE, NEW PHILADELPHIA, OH 44663-3812
- **Mailing address phone:** (330) 440-6700
- **Mailing address fax:** (330) 440-6701

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 3732 | OH | Yes |

## Other

- **Enumeration date:** 10/25/2017
- **Last updated:** 12/26/2017