| NPI | 1396101234 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHANTE SIMMS CEO 888-323-8667 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: TX AT6316) |
| Enumeration Date | 2016-01-07 |
| Last Update Date | 2016-01-07 |