Individual
LISA E SPORS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, ATC
Contact information
Practice address
2820 HPER CENTER, SOUTH DAKOTA STATE UNIVERSITY, BROOKINGS, SD 57007-1497
(605) 688-5996
(605) 688-5999
Mailing address
2820 HPER CENTER, SOUTH DAKOTA STATE UNIVERSITY, BROOKINGS, SD 57007-1497
(605) 688-5996
(605) 688-5999
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0334
SD
Other
Enumeration date
12/17/2009
Last updated
12/17/2009
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