| NPI | 1538581459 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY GRODECKI Graduate Assistant Athletic Trainer 847-650-0295 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: NC 2000007706) |
| Enumeration Date | 2014-01-12 |
| Last Update Date | 2014-01-12 |