# PERFORMANCE SPORTS AND SPINE CENTER, LLC

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

## Provider details

- **NPI number:** 1922365774
- **Authorized official:** DR. DANIEL LEONARD D.C. (OWNER)
- **Authorized official phone:** (330) 233-1273

## Contact information

- **Practice address:** 167 S STATE ST STE 190, WESTERVILLE, OH 43081-2282
- **Practice address phone:** (330) 233-1273
- **Mailing address:** 167 S STATE ST STE 190, WESTERVILLE, OH 43081-2282

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 4149 | OH | Yes |

## Other

- **Enumeration date:** 04/18/2012
- **Last updated:** 04/18/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 3130427 | — | OH |