| NPI | 1902326606 |
|---|---|
| Former Name | LAUREN BOYLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MN 10725) |
| Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: MN 2949) |
| 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: WI 897-039) | |
| Enumeration Date | 2017-06-23 |
| Last Update Date | 2022-07-21 |