| NPI | 1235368127 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC ALLEN CEO 404-538-4945 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer |
| Additional Taxonomies | 225700000X Massage Therapist |
| Enumeration Date | 2009-07-13 |
| Last Update Date | 2009-07-13 |