| NPI | 1154797371 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA LIPSETT Assoc. Director Of Sports Medicine 765-494-3245 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered |
| Enumeration Date | 2015-08-12 |
| Last Update Date | 2015-08-12 |