NPI 1063888113

Jennifer Stavenger, ATC

Practitioner Athletic Trainer Sioux Falls, SD

Practice location

Address: 3909 E Brookline Dr, Sioux Falls, SD 57103-5702
Phone: (605) 360-6135

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 0315 (SD)

Other Specialist/Technologist providers in South Dakota →

Registry record

NPI: 1063888113
Entity type: Individual
Sex (as registered): Female
NPI issued: 12 Aug 2015
Record last updated: 12 Aug 2015

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.