| 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 |