NPI | 1356741003 |
---|---|
Former Name | REID ELIZABETH JONES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2255A2300X Specialist/Technologist Athletic Trainer (Licence: KY AT1082) |
Enumeration Date | 2014-08-31 |
Last Update Date | 2014-08-31 |