| NPI | 1194780619 |
|---|---|
| Former Name | JENNIFER BARBARA BLODGETT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2255A2300X Specialist/Technologist Athletic Trainer (Licence: WI 719-039) |
| Enumeration Date | 2006-04-18 |
| Last Update Date | 2014-04-28 |