Sandusky Lions Wrestling Club

Primary specialty

Health & Wellness CoachTaxonomy code 171400000X

Legal business name

SANDUSKY LIONS WRESTLING CLUB

Doing business as

Sandusky Lions

Practice address

2525 W Monroe St
Sandusky, OH 44870-1902

Phone

(419) 984-5794

NPI assigned

Apr 17, 2025

Last updated

Apr 17, 2025By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jerrel T Valliant

Title

Owner

Phone

(419) 975-4536

Specialties & licenses 1

Addresses

Other names 1

• Sandusky Lions Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1744848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744848000000",
    "number": "1881480630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1213 WAVERLY RD",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "448704242",
            "telephone_number": "419-975-4536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 W MONROE ST",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "448701902",
            "telephone_number": "419-984-5794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDUSKY LIONS WRESTLING CLUB",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-17",
        "last_updated": "2025-04-17",
        "certification_date": "2025-04-17",
        "status": "A",
        "authorized_official_last_name": "VALLIANT",
        "authorized_official_first_name": "JERREL",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "419-975-4536"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sandusky Lions",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Health & Wellness Coach in Sandusky, OH
• Providers in Sandusky, OH by specialty
• Health & Wellness Coach in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.