Individual
TYRA LARAE JONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
2120 LIVE STRONGER ST, TEA, SD 57064-8331
(605) 331-5890
Mailing address
2120 LIVE STRONGER ST, TEA, SD 57064-8331
(605) 331-5890
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0592
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01324319
DRIVERS LICENSE
SD
Enumeration date
05/23/2018
Last updated
07/03/2025
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