| NPI | 1982293981 |
|---|---|
| Former Name | KELSEY HILDEBRANDT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2255A2300X Specialist/Technologist Athletic Trainer (Licence: CO AT.0001290) |
| Enumeration Date | 2021-01-13 |
| Last Update Date | 2021-01-13 |