| NPI | 1720507262 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CASEY ERICKSON Owner/Athletic Trainer 520-235-0067 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083S0010X Preventive Medicine, Sports Medicine (Licence: AZ 1318) |
| Enumeration Date | 2017-09-15 |
| Last Update Date | 2022-07-21 |