| NPI | 1649887373 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTY JO PUTNAM Manager 269-612-7222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer |
| Additional Taxonomies | 174H00000X Health Educator |
| 224Y00000X Clinical Exercise Physiologist | |
| 225800000X Recreation Therapist | |
| 226000000X Recreational Therapist Assistant | |
| Enumeration Date | 2020-09-27 |
| Last Update Date | 2020-09-27 |