| NPI | 1407100969 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BLLAIR BRANDON KITCH President 317-292-1891 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer |
| Enumeration Date | 2012-11-06 |
| Last Update Date | 2012-11-06 |