| NPI | 1891140109 |
|---|---|
| Former Name | KAILEIGH CARTMILL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AL 10349) |
| Additional Taxonomies | 2255A2300X Specialist/Technologist Athletic Trainer |
| Enumeration Date | 2016-04-25 |
| Last Update Date | 2021-08-04 |