# THE PT CENTER FOR SPORTS MEDICINE

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

## Provider details

- **NPI number:** 1578815973
- **Authorized official:** MRS. TINA OUTWATER (OFFICE MANAGER)
- **Authorized official phone:** (330) 869-2635

## Contact information

- **Practice address:** 2660 W MARKET ST STE 300, FAIRLAWN, OH 44333-4209
- **Practice address phone:** (330) 869-2635
- **Practice address fax:** (330) 869-8315
- **Mailing address:** 2660 W MARKET ST STE 300, FAIRLAWN, OH 44333-4209
- **Mailing address phone:** (330) 869-2635
- **Mailing address fax:** (330) 869-8315

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2255A2300X | Athletic Trainer | 003349 | OH | Yes |

## Other

- **Enumeration date:** 10/09/2012
- **Last updated:** 10/09/2012