| NPI | 1730555996 |
|---|---|
| Former Name | ALLYSSA BROOKE ZENTNER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: KS 24-01102) |
| Enumeration Date | 2015-08-11 |
| Last Update Date | 2023-08-25 |