| NPI | 1669936639 |
|---|---|
| Former Name | ASHLYNN HAMM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KS 11-06989) |
| Additional Taxonomies | 2255A2300X Specialist/Technologist Athletic Trainer |
| 225100000X Physical Therapist | |
| Enumeration Date | 2019-01-24 |
| Last Update Date | 2022-07-05 |