Individual
TANNER BRANCH WOLF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC, LAT, MS, BS
Contact information
Practice address
2905 3RD AVE SE, ABERDEEN, SD 57401-5420
(605) 626-4200
Mailing address
1610 S 7TH ST, ABERDEEN, SD 57401-6830
(605) 222-7869
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0520
SD
Other
Enumeration date
10/14/2024
Last updated
10/14/2024
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