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 |