Individual
MRS. CATHERINE MARIE PETRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., A.T.C.
Contact information
Practice address
1305 W 18TH ST, SIOUX FALLS, SD 57105-0401
(605) 328-1759
(605) 328-1857
Mailing address
47424 319TH ST, ELK POINT, SD 57025-6630
(605) 356-2558
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0044
SD
Other
Enumeration date
01/26/2007
Last updated
07/08/2007
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