| NPI | 1033876677 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN GRANT President 866-719-9611 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133VN1501X Dietitian, Registered Nutrition, Sports Dietetics |
| Additional Taxonomies | 163WX0800X Registered Nurse Orthopedic |
| 207PS0010X Emergency Medicine Sports Medicine | |
| 207QS0010X Family Medicine Sports Medicine | |
| 207RS0010X Internal Medicine Sports Medicine | |
| 2081P2900X Physical Medicine & Rehabilitation Pain Medicine | |
| 2081S0010X Physical Medicine & Rehabilitation Sports Medicine | |
| 2083S0010X Preventive Medicine Sports Medicine | |
| 208VP0000X Pain Medicine Pain Medicine | |
| 225100000X Physical Therapist | |
| 2251E1200X Physical Therapist Ergonomics | |
| 2251S0007X Physical Therapist Sports | |
| 2251X0800X Physical Therapist Orthopedic | |
| 225XP0019X Occupational Therapist Physical Rehabilitation | |
| 208100000X Physical Medicine & Rehabilitation | |
| Enumeration Date | 2021-11-18 |
| Last Update Date | 2023-02-07 |