| NPI | 1144597832 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FELICIA DAVIS-DARTHARD Administrator 404-610-3046 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174H00000X Health Educator |
| Additional Taxonomies | 224Y00000X Clinical Exercise Physiologist |
| 226300000X Kinesiotherapist | |
| 225800000X Recreation Therapist | |
| 2255A2300X Specialist/Technologist, Athletic Trainer | |
| 2251S0007X Physical Therapist, Sports | |
| Enumeration Date | 2011-11-23 |
| Last Update Date | 2016-09-12 |