# SPINE SPORTS & INDUSTRIAL REHABILITATION INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Spinal & Orthopaedic Medicine Assoc. INC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306979232
- **Authorized official:** MS. CATHY YOUNG (DIRECTOR OF OPERATIONS)
- **Authorized official phone:** (614) 486-7171

## Contact information

- **Practice address:** 1335 DUBLIN RD, SUITE 100-A, COLUMBUS, OH 43215-1000
- **Practice address phone:** (614) 486-7171
- **Practice address fax:** (614) 486-9854
- **Mailing address:** 1335 DUBLIN RD, SUITE 100-A, COLUMBUS, OH 43215-1000
- **Mailing address phone:** (614) 486-7171
- **Mailing address fax:** (614) 486-9854

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 204D00000X | Neuromusculoskeletal Medicine & OMM Physician | 34006814 | OH | Yes |

## Other

- **Enumeration date:** 03/13/2007
- **Last updated:** 02/14/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 2067445 | — | OH |