| NPI | 1053864504 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OWEN STANLEY Assistant Athletic Director 605-688-5299 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2255A2300X Specialist/Technologist Athletic Trainer (Licence: SD 0521) |
| Enumeration Date | 2016-08-02 |
| Last Update Date | 2016-08-02 |