Individual
MARY BETH ZWART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
1004 CAMPANILE AVENUE, BROOKINGS, SD 57007-0001
(605) 688-5325
Mailing address
1004 CAMPANILE AVENUE, BROOKINGS, SD 57007-0001
(605) 688-5325
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
159
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
159
AT
SD
Enumeration date
03/23/2020
Last updated
03/23/2020
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