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Travis Lee Olsen, ATC
Student in an Organized Health Care Education/Training Program in Vermillion, South Dakota
NPI 1639510357

Travis Lee Olsen is a Student in an Organized Health Care Education/Training Program based in Mitchell, SD. Travis Lee Olsen practices in Vermillion, SD and has the professional credentials of ATC. The NPI Number for Travis Lee Olsen is 1639510357 and holds a License No. 390200000 (South Dakota).

The current practice location address for Travis Lee Olsen is 414 E Clark St, Vermillion, SD and can be reached out via phone at 605-677-5960. You can also correspond with Travis Lee Olsen through the mailing address at 1308 S ROWLEY ST, MITCHELL, SD - 57301-4713 (mailing address contact number: 605-933-1436).

Location: 414 E Clark St, Vermillion, SD, 57301-4713
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1639510357
Provider Name
Travis Lee Olsen
Credential
ATC
Provider Entity Type
Individual
Gender
Male
Address
414 E Clark St, Vermillion, SD, 57301-4713
Phone Number
605-677-5960
Fax Number
Provider Enumeration Date
07/10/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
414 E Clark St
City
Vermillion
State
South Dakota
Zip
57069-2307
Phone Number
605-677-5960
Fax Number
person
Provider Business Mailing Address Details
Address
414 E Clark St
City
Vermillion
State
South Dakota
Zip
57069-2307
Phone Number
605-677-5960
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
390200000 (South Dakota)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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