| NPI | 1194946178 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL R SIMS Athletic Trainer 254-710-1234 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2009-09-15 |