Organization
PLUS SPORTS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE LAISHLEY (OFFICE MANAGER CFO)
(740) 435-8181
Entity
Organization
Contact information
Practice address
216 HIGHLAND AVE, CAMBRIDGE, OH 43725-2528
(740) 435-8181
Mailing address
216 HIGHLAND AVE, CAMBRIDGE, OH 43725-2528
(740) 435-8181
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0772721
—
OH
Enumeration date
08/01/2007
Last updated
08/01/2007
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