NPI | 1548684830 |
---|---|
Former Name | REBECCA BARTEK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: MI 260100124) |
Additional Taxonomies | 174H00000X Health Educator |
Enumeration Date | 2014-02-07 |
Last Update Date | 2018-08-07 |