| NPI | 1164971925 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL WILLIAMS Associate Ad For Athletic Training 435-797-3444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2255A2300X Specialist/Technologist Athletic Trainer |
| Enumeration Date | 2016-09-22 |
| Last Update Date | 2016-09-22 |