| NPI | 1114393964 |
|---|---|
| Former Name | KACIE SOMMERFELD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: LA ATH.200362) |
| Enumeration Date | 2015-08-17 |
| Last Update Date | 2015-08-17 |