NPI | 1265243497 |
---|---|
Former Name | CHELSEA LOETHEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: MO 2011026851) |
Enumeration Date | 2025-01-16 |
Last Update Date | 2025-01-16 |