DEREK THOMAS WEST

BROOKINGS, SD
NPI1538416367
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist Athletic Trainer
(Licence: SD  0376)
Enumeration Date2012-08-10
Last Update Date2012-08-10
Business Address
DEREK THOMAS WEST ATC
2820 HPER CENTER SOUTH DAKOTA STATE UNIVERSITY
BROOKINGS, SD 57007-1497
Phone number: 605-688-4003
Mailing Address
DEREK THOMAS WEST ATC
2110 RIO GRAND AVE
BROOKINGS, SD 57006-7277
Phone number: 605-730-2417
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