NPI 1023128550

Paul Wilson, ATHLETICTRAINER

Practitioner Athletic Trainer Dakota Dunes, SD

Practice location

Address: 575 N Sioux Point Rd, Dakota Dunes, SD 57049-5312
Phone: (605) 217-2667
Fax: (605) 217-2915

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 00254 (IA)

Other Specialist/Technologist providers in South Dakota →

Registry record

NPI: 1023128550
Entity type: Individual
Sex (as registered): Male
NPI issued: 30 Aug 2006
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.