| NPI | 1609395508 |
|---|---|
| Former Name | KELCEY BROOKE ATCHINSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer |
| Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: OH 004704) |
| Enumeration Date | 2017-09-12 |
| Last Update Date | 2018-03-17 |