NPI | 1659469617 |
---|---|
Entity Type | Organization |
Authorized Contact | LUKE MICHAEL ROSS Graduate Assistant Athletic Trainer 773-844-1247 |
Organization Subpart ? | No |
Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: NC 1226) |
Enumeration Date | 2006-10-11 |
Last Update Date | 2020-08-22 |