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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SOUTH DAKOTA STATE UNIVERSITY

Active Organization

Athletic Trainer · BROOKINGS, SD

Registration Details

NPI Number
1053864504
Provider Type
Organization
NPI Issued
Aug 2, 2016 (9.7466995985912 yrs)
Last Updated
Aug 2, 2016
License
0521 (SD)

Practice Information

Address
2820 HPER CTR
BROOKINGS, SD, 570071497
Browse SD providers · Browse ZIP 57007
Phone
6056884003
Primary Specialty
Athletic Trainer
2255A2300X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.