NPI | 1326551458 |
---|---|
Former Name | SARAH BLANKENSHIP |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: TX AT5593) |
Additional Taxonomies | 225400000X Rehabilitation Practitioner |
Enumeration Date | 2017-11-11 |
Last Update Date | 2025-07-25 |