| NPI | 1033528443 |
|---|---|
| Professional Name | JENNI LUDTKE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: CA 2000018517) |
| Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: OR AT-AT-10206431) |
| Enumeration Date | 2014-08-11 |
| Last Update Date | 2022-01-24 |