Individual
MRS. STEPHANIE ALANE LIBIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
1305 W 18TH ST, SIOUX VALLEY HOSPITAL, SIOUX FALLS, SD 57105-0401
(605) 328-1750
Mailing address
503 E 15TH ST, DELL RAPIDS, SD 57022-1009
(605) 428-4597
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0101
SD
Other
Enumeration date
01/18/2007
Last updated
07/08/2007
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