Individual
TRACI LYNN STOUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MAT, LAT, ATC
Contact information
Practice address
1635 CAREGIVER CIR, RAPID CITY, SD 57702-8529
(605) 755-6100
Mailing address
1635 CAREGIVER CIR, RAPID CITY, SD 57702-8529
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0695
SD
Other
Enumeration date
10/20/2023
Last updated
10/20/2023
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