NPI | 1417556499 |
---|---|
Former Name | AMBER BRITANY KREHBIEL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: KS 11-07667) |
Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: KS 24-01487) |
Enumeration Date | 2020-10-21 |
Last Update Date | 2024-08-13 |