Individual
MRS. TAYLOR ALEXANDRA BERGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, ATC
Contact information
Practice address
3201 S KIWANIS AVE, SIOUX FALLS, SD 57105-4296
(605) 999-6501
Mailing address
1601 W 44TH PL, SIOUX FALLS, SD 57105-6376
(605) 322-3278
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0457
SD
Other
Enumeration date
03/20/2019
Last updated
03/20/2019
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