Individual
LEAH KROEGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
2820 STANLEY J MARSHALL CENTER, BROOKINGS, SD 57006
(480) 273-0505
Mailing address
2409 10TH ST APT 203, BROOKINGS, SD 57006-5530
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0550
SD
Other
Enumeration date
10/01/2020
Last updated
10/01/2020
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