| Organization Name: | ENDURANCE ATHLETES PHYSICAL THERAPY AND SPORT PERFORMANCE LLC |
| NPI Number: | 1104268093 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KARI ELLYN BROWN BUDDE (OWNER) |
| Mailing Address: | 7121 Davis Rd Hilliard |
| State: | OH US |
| Postal Code: | 430269453 |
| Phone Number: | 6163229010 |
| Fax Number: | |
| NPI Enumeration Date: | 07/22/2013 |
| NPI Last Update Date: | 07/22/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2000X |
| License Number: | 012147 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Physical Therapy |
| Taxonomy Definition: | |