NPI 1063728079

Kristin Lynn Johannsen, ATC

Practitioner Athletic Trainer Brookings, SD

Practice location

Address: S Dakota State University 2820 Hper Ctr, Brookings, SD 57007-0001
Phone: (605) 688-4003
Mailing address: 416 Southland Lane Apartment 205, Brookings, SD 57006-3550

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 0344 (SD)

Other Specialist/Technologist providers in South Dakota →

Registry record

NPI: 1063728079
Entity type: Individual
Sex (as registered): Female
NPI issued: 27 Aug 2010
Record last updated: 27 Aug 2010

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.