Individual
ELLIANA GRACE AILTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
27022 SPLIT CREEK CT, SIOUX FALLS, SD 57108-8237
(605) 408-6236
Mailing address
27022 SPLIT CREEK CT, SIOUX FALLS, SD 57108-8237
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
—
—
2255A2300X
Athletic Trainer
—
—
Other
Enumeration date
09/26/2025
Last updated
09/26/2025
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