Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Great Lakes Sports & Spine LLC

Organization Chiropractor · NPI 1710768494

Great Lakes Sports & Spine LLC is a Chiropractor in Willoughby, Ohio. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

34940 Ridge Rd Ste B
Willoughby, OH 44094-4197
Phone: (440) 527-8030
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X

Record details

NPI number1710768494
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Matthew Martin — Owner/Chiropractic Physician · (440) 503-6683
NPI enumeratedOctober 10, 2023
Last updated in NPPESOctober 10, 2023
Certification dateOctober 10, 2023
Mailing address502 Windham Ct, Broadview Heights, OH 44147-4214

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