Individual
ALYSSA BEACOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
48027 RIVERSIDE PL, SIOUX FALLS, SD 57108-8209
(605) 521-7014
Mailing address
48027 RIVERSIDE PL, SIOUX FALLS, SD 57108-8209
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
07/11/2014
Last updated
07/11/2014
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