| 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 |