| NPI | 1538635396 |
|---|---|
| Former Name | AMELIA ALEXANDRA REEK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: MN 3246) |
| Enumeration Date | 2018-10-19 |
| Last Update Date | 2019-08-02 |