| NPI | 1538570650 |
|---|---|
| Former Name | KATIE FRANK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: ND 833-19) |
| Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: OH AT3141) |
| Enumeration Date | 2014-05-12 |
| Last Update Date | 2024-09-09 |