NPI 1043785421

Lee Weidauer, ATC

Practitioner Athletic Trainer Brookings, SD

Practice location

Address: 1175 Medary Ave S, Brookings, SD 57006-3949
Phone: (605) 688-4630
Mailing address: 509 W 8th St, Dell Rapids, SD 57022-2122

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X

Other Specialist/Technologist providers in South Dakota →

Registry record

NPI: 1043785421
Entity type: Individual
Sex (as registered): Male
NPI issued: 11 Oct 2018
Record last updated: 11 Oct 2018

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.