institution
Sport Clinic, Pc
Specialist in Mitchell, South Dakota
NPI 1528275484

Sport Clinic, Pc is a Specialist based in Mitchell, SD. Sport Clinic, Pc practices in Mitchell, SD. The NPI Number for Sport Clinic, Pc is 1528275484 and holds a License No. 1694 (South Dakota).

The current practice location address for Sport Clinic, Pc is 1222 E 7Th Ave, Mitchell, SD and can be reached out via phone at 605-996-7077 and via fax at 605-996-0297.

Location: 1222 E 7Th Ave, Mitchell, SD, 57301-0309
institution
Provider Profile Details
NPI Number
1528275484
Provider Name
Sport Clinic, Pc
Credential
Provider Entity Type
Organization
Address
1222 E 7Th Ave, Mitchell, SD, 57301-0309
Phone Number
605-996-7077
Fax Number
605-996-0297
Provider Enumeration Date
05/17/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
6400430 05 SD
institution
Provider Business Practice Location Address Details
Address
1222 E 7Th Ave
City
State
Zip
57301-0309
Phone Number
605-996-7077
Fax Number
605-996-0297
person
Provider Business Mailing Address Details
Address
1222 E 7Th Ave
City
State
Zip
57301-0309
Phone Number
605-996-7077
Fax Number
605-996-0297
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
1694 (South Dakota)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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