| NPI | 1699402339 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEVONA RENAY GRANT Business Owner 423-781-6893 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer |
| Enumeration Date | 2022-08-03 |
| Last Update Date | 2022-08-03 |