| NPI | 1245261841 |
|---|---|
| Former Name | MICHELLE L LEVREAULT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: RI AT00203) |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2018-03-02 |