# BUCKEYE SPORTS AND FAMILY CHIROPRACTICE CENTER, INC

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

## Provider details

- **NPI number:** 1801923669
- **Authorized official:** DR. CHARITA N COOPER D,C. (CHIROPRACTOR)
- **Authorized official phone:** (937) 642-4400

## Contact information

- **Practice address:** 16705 SQUARE DR, MARYSVILLE, OH 43040-8476
- **Practice address phone:** (937) 642-4400
- **Practice address fax:** (937) 642-4443
- **Mailing address:** 16705 SQUARE DR, MARYSVILLE, OH 43040-8722
- **Mailing address phone:** (937) 642-4400
- **Mailing address fax:** (937) 642-4443

## Taxonomy

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

## Other

- **Enumeration date:** 02/28/2007
- **Last updated:** 03/08/2013
