Individual
TIFFANY TRASK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4447 S CANYON RD STE 6, RAPID CITY, SD 57702-1889
(605) 443-6164
Mailing address
13455 ROCKWOOD RD, RAPID CITY, SD 57702-6502
(605) 209-8792
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
14037899
SD
235Z00000X
Speech-Language Pathologist
Primary
429-SLP
SD
Other
Enumeration date
04/14/2016
Last updated
07/11/2022
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