| NPI | 1396974499 |
|---|---|
| Former Name | JESSICA KRISTIN CALHOUN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2255A2300X Specialist/Technologist Athletic Trainer (Licence: GA AT000996) |
| Enumeration Date | 2009-07-09 |
| Last Update Date | 2009-07-09 |