| NPI | 1760756126 |
|---|---|
| Other Name | NATHAN LARUE BURNEY |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: MO 2014028842) |
| Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: NM 416) |
| Enumeration Date | 2012-03-02 |
| Last Update Date | 2015-03-12 |