| NPI | 1043851686 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADAM SORUM Healthy Living Director 701-775-2586 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2255A2300X Specialist/Technologist Athletic Trainer |
| Enumeration Date | 2019-10-04 |
| Last Update Date | 2021-07-15 |