| NPI | 1295061752 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMMY LEINGANG Office COO Rdinator 701-323-5222 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2255A2300X Specialist/Technologist Athletic Trainer (Licence: ND 366-09) |
| Enumeration Date | 2009-10-19 |
| Last Update Date | 2009-10-19 |