| NPI | 1649725219 |
|---|---|
| Other Name | JOY LEANNE BLASING |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: IL B42543294741) |
| Enumeration Date | 2016-08-23 |
| Last Update Date | 2016-09-08 |