South Dakota State University
NPI #1053864504 in Brookings, South Dakota
Provider Information
- NPI Number
- 1053864504
- Entity Type
- Organization
- Organization Name
- South Dakota State University
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Enumeration Date
- Aug 2, 2016
- Last Updated
- Aug 2, 2016
Practice Location
- Address
- 2820 HPER CTR
- City
- Brookings
- State
- South Dakota
- ZIP Code
- 57007-1497
- Phone
- (605) 688-4003
Authorized Official
- Name
- OWEN STANLEY
- Title
- ASSISTANT ATHLETIC DIRECTOR
- Phone
- (605) 688-5299
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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