NPI | 1548627227 |
---|---|
Former Name | CHYRSTEN LEANN REGELSKI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: OH 004702) |
Additional Taxonomies | 225400000X Rehabilitation Practitioner |
Enumeration Date | 2016-01-26 |
Last Update Date | 2019-10-26 |