| NPI | 1699045153 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRITTANI MOORE Certified Athletic Trainer 317-281-5539 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: IN 36001755a) |
| Enumeration Date | 2011-12-30 |
| Last Update Date | 2013-01-15 |