| NPI | 1548273220 |
|---|---|
| Former Name | SARAH ANN FAHRENKRUG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2255A2300X Specialist/Technologist Athletic Trainer (Licence: IL 96.002298) |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2019-09-18 |