NPI | 1023000981 |
---|---|
Entity Type | Organization |
Authorized Contact | RON CARROLL Head Athletic Trainer 870-972-3342 |
Organization Subpart ? | No |
Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer |
Enumeration Date | 2005-08-17 |
Last Update Date | 2020-08-22 |