Individual
CAITLYN MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1601 W 44TH PL, SIOUX FALLS, SD 57105-6376
(605) 322-3278
Mailing address
4721 W ANTELOPE DR, SIOUX FALLS, SD 57107-6821
(605) 759-2655
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0455
SD
Other
Enumeration date
12/26/2016
Last updated
12/26/2016
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