Individual
JACKSON SMIDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, ATC, CSCS
Contact information
Practice address
1305 W 18TH ST, SIOUX FALLS, SD 57105-0401
(605) 333-1000
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
(605) 312-7800
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
2000017302
—
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
08/02/2017
Last updated
09/30/2025
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