Individual
AMY SMALLFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, ATC, RN
Contact information
Practice address
200 9TH ST NE, WATERTOWN, SD 57201-2863
(605) 881-4264
(605) 882-5288
Mailing address
1120 MAYFAIR DR, WATERTOWN, SD 57201-1444
(605) 886-8489
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0147
SD
Other
Enumeration date
01/23/2007
Last updated
07/08/2007
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