Travis Lee Olsen, ATC
NPI #1639510357 in Vermillion, South Dakota
Provider Information
- NPI Number
- 1639510357
- Entity Type
- Individual
- Name
- Travis Lee Olsen, ATC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Student in an Organized Health Care Education/Training Program
- Credential
- ATC
- Enumeration Date
- Jul 10, 2013
- Last Updated
- Jul 10, 2013
Practice Location
- Address
- 414 E CLARK ST
- Address 2
- DAKOTA DOME #112
- City
- Vermillion
- State
- South Dakota
- ZIP Code
- 57069-2307
- Phone
- (605) 677-5960
Specialties & Taxonomy Codes
| Specialty |
|---|
| Student in an Organized Health Care Education/Training Program |
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