| NPI | 1740938570 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRILL DA VITORIA LOBO Owner/Athletic Therapist 702-354-3279 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2255A2300X Specialist/Technologist Athletic Trainer |
| Enumeration Date | 2022-03-10 |
| Last Update Date | 2022-03-10 |