NPI | 1114400785 |
---|---|
Former Legal Business Name | UPLIFT ATHLETICS |
Doing Business As | UPLIFT ATHLETICS |
Entity Type | Organization |
Authorized Contact | CAMILLA NICOLE NELSON President/Foundress 313-283-8620 |
Organization Subpart ? | No |
Primary Taxonomy | 224Y00000X Clinical Exercise Physiologist |
Enumeration Date | 2018-09-10 |
Last Update Date | 2018-09-10 |