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Individual

ELIZABETH A BARKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ATC

Contact information

Practice address
488 MAIN ST, HILL CITY, SD 57745-5774
(605) 574-3030
Mailing address
2044 PROMISE RD APT 2415, RAPID CITY, SD 57701-8922
(605) 645-2841

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0635
SD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0635
SD
Enumeration date
04/02/2021
Last updated
10/20/2023
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