NPI | 1558503433 |
---|---|
Entity Type | Organization |
Authorized Contact | WADE WELTON Director,Sports Med/Ath Training 660-248-6217 |
Organization Subpart ? | Yes |
Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: MO 102437) |
Enumeration Date | 2009-03-24 |
Last Update Date | 2009-03-24 |