| NPI | 1497878227 |
|---|---|
| Former Name | CARRIE SUSAN CHEELEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: VA 0126000869) |
| Enumeration Date | 2007-04-08 |
| Last Update Date | 2022-10-11 |