NPI | 1205870433 |
---|---|
Other Name | JB BARRETT |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: MO 2017031789) |
Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: FL AL 1824) |
Enumeration Date | 2006-06-16 |
Last Update Date | 2019-01-24 |