| NPI | 1265728737 |
|---|---|
| Former Name | KELLY JO TRIMBLE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: OH AT.003611) |
| Enumeration Date | 2011-06-23 |
| Last Update Date | 2019-02-25 |