Individual
BRIAN COLLETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
575 N SIOUX POINT RD, DAKOTA DUNES, SD 57049-5312
(605) 217-2617
Mailing address
575 N SIOUX POINT RD, DAKOTA DUNES, SD 57049-5312
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
00276
IA
2255A2300X
Athletic Trainer
Primary
0320
SD
Other
Enumeration date
12/18/2015
Last updated
12/18/2015
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