Individual
DERRICK LECY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
501 E SAINT JOSEPH ST, RAPID CITY, SD 57701-3901
(605) 394-2351
Mailing address
501 E SAINT JOSEPH ST, RAPID CITY, SD 57701-3901
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0349
SD
Other
Enumeration date
04/21/2014
Last updated
04/21/2014
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