| NPI | 1942273115 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | APRIL PARHAM Athletic Trainer 901-601-7244 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: TN 805) |
| Enumeration Date | 2006-02-08 |
| Last Update Date | 2020-08-22 |