| NPI | 1912631763 |
|---|---|
| Former Name | KELSEY JOAN JOHNSTON, GORBETT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: WA a160969833) |
| Enumeration Date | 2022-07-15 |
| Last Update Date | 2022-07-15 |