NPI | 1790495356 |
---|---|
Former Name | ASHLEY RASMUSSEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: KS 24-01357) |
Enumeration Date | 2022-12-05 |
Last Update Date | 2022-12-05 |