| NPI | 1871964825 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIONNE WEEMS Athletic Trainer 937-215-6422 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246Z00000X Specialist/Technologist, Other (Licence: IN 36002132A) |
| Enumeration Date | 2015-10-16 |
| Last Update Date | 2015-10-16 |