| NPI | 1215122882 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUSSELL J MCKUNE Head Athletic Trainer 402-554-2774 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer |
| Enumeration Date | 2007-09-07 |
| Last Update Date | 2007-09-07 |