Individual
ELLEN KLUTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MAT, LAT, ATC
Contact information
Practice address
6800 S LOUISE AVE, SIOUX FALLS, SD 57108-6026
(605) 630-8863
Mailing address
8900 W WISEMAN CIR, SIOUX FALLS, SD 57106-4846
(605) 630-8863
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0622
SD
Other
Enumeration date
03/25/2021
Last updated
03/25/2021
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