| NPI | 1952431645 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AL WALLACE CEO 828-274-4555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: NC 0739) |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2020-08-22 |