| NPI | 1720512510 |
|---|---|
| Former Name | REBEKAH MCDANIEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: 2000020992) |
| Enumeration Date | 2017-04-18 |
| Last Update Date | 2020-09-16 |