Individual
LUCRETIA LYNN BOWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, CSCS
Contact information
Practice address
2479 E COLORADO BLVD, SPEARFISH, SD 57783-3204
(605) 490-7749
Mailing address
1437 WILLARD ST, STURGIS, SD 57785-1851
(605) 490-7749
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0324
SD
Other
Enumeration date
06/03/2022
Last updated
06/03/2022
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