Individual
JOSEPH ALLEN CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC, LAT, HGP-1
Contact information
Practice address
1101 N DAKOTA ST, VERMILLION, SD 57069
(605) 656-6203
Mailing address
1101 N DAKOTA ST, VERMILLION, SD 57069
(605) 656-6203
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0791
SD
Other
Enumeration date
10/25/2024
Last updated
10/25/2024
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