| NPI | 1801912118 |
|---|---|
| Former Name | BOBBIE-JO SHEKLETON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: CT 000305) |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2007-07-08 |