| NPI | 1912283144 |
|---|---|
| Former Name | KRISTI MARIE LEWIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2255A2300X Specialist/Technologist Athletic Trainer (Licence: MI 2601000031) |
| Additional Taxonomies | 225000000X Orthotic Fitter |
| Enumeration Date | 2011-11-02 |
| Last Update Date | 2023-08-11 |